AMT First Aid Registration

Aurora Medical Team Advanced First Aid Registration

Location:	Loveland Outlet Mall, 5661 Mcwhinney Boulevard, Loveland, (The Loveland mall is in two halves, north and south. We will be in the north portion, in the room north of the Levi’s store. Class is in room 5609, the "Community Room").
Date:	Saturday, March 20-21, 2010, 8am-5pm
Comments:	This is certification in advanced/wilderness first aid and adult/child CPR.

Here are the instructions to register for class:

Please complete the form below and click SUBMIT.

Registration is confirmed upon receipt of payment.

You can verify when we post your payment with the STATUS button on the AMT First Aid Page.

Payment instructions will be displayed after registration.

If you need to fix a misspelling or change entries please email us.

Instructions on the class will be sent to your email or printed after registration.

Participants will receive certification cards for completion.

Directions are a map link...click on the location to display.

Course content information is on the AMT First Aid Page.

Scroll down to see all fields.
Please capitalize normally...NOT all "lower case" or "ALL CAPITALS" please!

Click Here to Submit Your Registration

** Indicates a required field.

		** First
		** Last
		** Address
		** City
		** State
		** Zip
		** Phone
		** Email
		** Age	Adult Youth
		** Gender	M F
		** Affiliation	Exploring Scouting Venturing Webelos Cubs GirlScouts Family AMT Other
		** I intend to pay by:	Credit Card or PayPal Check Unit Pymt Other
		Comment or Questions