Lebanon County EMT Program

The 2023 Lebanon County EMT program through the ELCO EMT Training Institute will begin on August 21, 2023, and run through March 25, 2024. The class will meet Monday evenings from 6PM to 10PM at the ELCO High School. This will be a blended curriculum with several TBD Saturday dates. A computer and internet connection are required.

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Personal Information

* First Name:
* Last Name:
* Email Address:
* Confirm Email Address:
* Address 1:
Address 2:
Address 3:
* City:
* State:
* ZIP Code:
* Phone:
Cell Phone:
Last 4 of Social Security#
Date of Birth

Fee

Type	Fee
Event fee	$750.00

Custom Information 1

Emergency Contact Name
Emergency Contact Phone
I acknowledge that my registration is not considered complete and I may not begin class until my payment is received in full. I acknowledge I may received a refund with notification of withdraw 30 days prior to the start of class. Once class has begun, a refund may be made in the amount of 50% of the class cost, through the first 60 days of class. There is no refund on day 61 of class.
- Yes
- No

Payment

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Please make check payable to:
First Aid and Safety Patrol
254 S. 11th Street
Lebanon, PA 17042

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