Blacksburg EMT Class
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Name
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First
Last
Email Address
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Phone Number
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Birthdate (mm/dd/yyyy)
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Age Verification
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–Please make a selection–
I will be 18 years of age on 7/7/2025
I will be 16 years of age on 7/7/2025 (Parental Consent Required)
I will be under the age of 16 on 7/7/2025
Students are required to be 16 years of age on the first day of class instruciton.
Agency Affiliation (1st Priority to Montgomery County Public Safety Organizations)
Not Affiliated
Blacksburg Volunteer Rescue Squad
Blacksburg Fire Department
Virginia Tech Rescue Squad
Riner Rescue Squad
Longshop McCoy Fire & Rescue
Christiansburg Rescue Squad
Blacksburg Police Department
Christiansburg Police Department
Montgomery County Sheriff’s Department
Virginia Tech Police Department
Other Public Safety Agency Affiliation
a County I
I understand that the cost of the course and learning materials, $1126.00, is due the first night of class. This fee is non-refundable.
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Confirm
I understand that this registration is ONLY for the Weekend Hybrid EMT Course. Registration for the Weekday Evenings Course is managed thru a separate portal
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I understand that I am registering for the Weekend Hybrid EMT Course
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