Allegany County FALL EMT COURSE - 2026 Registration
Thank you for your interest in the Allegany County EMT fall 2026 course. Please complete this form to request registration information. Limited seats available. Course Dates: August 11 – December 10, 2026 Class: Tuesday & Thursday,6:00PM – 10:00 PM Ride/Clinical: Monday & Friday You will be contacted after submission with next steps.
Name
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First Name
Last Name
DOB
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Month
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Day
Year
Date
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email
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Address
Street Address
Street Address Line 2
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Will you be at least 17 years old by August 20, 2026?
Yes
No
Do you have a valid driver's license?
Yes
No
Permit
Are you currently affiliated with a Fire Dept / EMS Agency?
Yes
No
If yes, agency name
Have you completed FEMA IS-100?
Yes
No
In Progess
Have you completed FEMA IS-700?
Yes
No
In Progress
HazMat Awareness Course Status
Completed
In Progress
No Yet Started
Physical / Immunizations available?
Yes
No
In Progress
How did you hear about this course?
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