Student Enrollment For Upcoming Events

The Difficult Airway Course: EMS™
Course Name: The Difficult Airway Course: EMS™
Address: 111 East Highland Parkway, Roselle, NJ 07203
Cost: $350.00
 
Session: 01 - Timing: Thursday, June 6, 2024 8:00 AM - 4:00 PM
Session: 02 - Timing: Friday, June 7, 2024 8:00 AM - 4:00 PM

 Payment Summary
Sub Total : $350.00
Discount : $0.00

Net Total
$350.00

 
 User Information
First Name:
 
Last Name:
 
Address:
 
City:
 
State:
   
Zip:
 
Telephone:
 
Email:
   
RWJBH Employee # if applicable
Date Of Birth:
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Discount Code:
   
 
Click on Apply after entering the code to avail the discount.


   Continuing Education Information

 State License
License Type
State of Licensure
Student License Number
State Licensure Expiration
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 NREMT License
NREMT License Type
NREMT License Number
NREMT License Expiration
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Questionnaire
1 - How did you hear of RWJBarnabas Health CPR Training Center? 2 - If you are ONLY renewing ACLS/PALS, Enter your current expiration date. A Current card is REQUIRED

Questionnaire - The Difficult Airway Course: EMS™
1 - What is your supervisor's email address? (Verification email will be sent) If not RWJBH Employee N/A
 

2 - What is your highest level of training? (MD, DO, RTT, RN, MICP, MICN)
 

3 - What agency are you affiliated with?
 
 
     
           

 Pre-requisite Course
No Pre-requisite course.

 Payment Method
credit cards supported
Payment Type: 
Name on Card: 
Card Number: 
Expiration Date:       
CVV:     
I agree to the terms and conditions of this registration (see terms and conditions)