Please complete Registration Below.
Please make sure your e-mail and phone number are correct.

We are having to implement a SEAT FEE for GEMSA sponsored Classes due to the 'no shows' we are having the day of class.  A $30 Seat Fee will be requested at the end of this application by Credit Card.  If you cannot attend the Lab you signed up for refunds will be processed as described below. 
 
You are not allowed to transfer your application to another Lab - due to you holding a position in the Lab that you signed up for.  You can register for more than 1 Lab - you just have to do individual registrations for each Lab.
 
If you do not pay the Seat Fee at the end of the application - you application will be rejected and moved to the 'waiting list'.  Any notifications you receive about the class you wished to attend will be 'last minute' openings only.

After you attend class - within a 30 day period you will receive a $20  reimbursed to your credit card.  If you cancel prior to  2 weeks of the class you will receive a $20 reimbursement. If you cancel within 2 weeks of the class or do not show up for the class you will not reimbursed any funds. 

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Secondary Email contact

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* 5. County of Residence

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* 6. Please list the ZIP CODE of your PRIMARY Employment Agency

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* 7. State of Residence

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* 8. Phone Number

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* 9. Employer

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* 10. Your Primary Profession

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* 11. Please select the course and time that you are interested in attending

The Cobb County location is full.
The Hall County location is full.
The Henry County location is full
This Program is made possible by State of Georgia funding provided through the
Georgia Trauma Care Network Commission.
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