*Class Registration
Class Registration
EMT-Basic CLASS: $1850.00 Minimum $250 is required at the time of registration to reserve your seat, with the remaining balance due by January 2nd, unless prior approved arrangements have been made with WCESD #3. This is non-refundable. An invoice will be emailed to you shortly after you register for class. You are required to make the reservation fee within 3 days of receiving an invoice or you will be removed from the list. If you have any questions about class registration or tuition please email nikki.hardwick@wcesd3.net or call 830-581-0382.
Name: Last, First, Middle
City, State, Zip
Phone #
Course Applying For:
Date of Birth
SS# (for criminal background check) (for EMT & AEMT students only)
Issuing State:
Expriation Date:
Have you been convicted of a Felony, Class A, or Class B Misdemeanor
Explain the charge or type N/A
Do you have a high school diploma or GED?
Name of High School/College graduated from
Submit a minimum of 300 words explaining why you want to be an EMT or AEMT
How did you hear about us?
Do you plan to pay in full at the time of registration or only pay the registration fee?
How will you be paying?
If you selected that your department will be sponsoring you, are they aware of this?
Please provide what Department your with, your Chief's Name, contact phone #, and email address where to send the invoice
Enter PIN
Enter the answer to the math problem to submit this form.
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