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.

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. State of Residence

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* 7. Phone Number

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* 8. Employer

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* 9. Your Primary Profession

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

This Program is made possible by State of Georgia funding provided through the
Georgia Trauma Care Network Commission.
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