Street Warrior Educ. Group/Parkview Health System EMS Primary Instructor Class 2017 (all fields are mandatory, please complete)
Ken L. Hendricks, NRP/CCEMTP/Tactical/PI/NiceGuy
NOTE: After receiving this form back, I will reply to you with additional instructions and information. Please call for questions - 260-414-2056. Thank You
Cash is Preferred and terms are available. If need be please make a $325.00 check to Street Warrior Educ. Group and bring it to class on the first day.