Individual Registration

If you do not have access to this book for class, you must purchase one below.

Please enter information in the form below to register for EPC - Emergency Pediatric Care - Full Course starting on 01-11-2025 9:00 am.
Course Location: NHCPR - Bedford (9 Cedarwood Dr, Unit 12, Bedford NH 03110)

Last Name *

First Name *

Address *

City *

Zip *

State *

Phone *

Email *

Personal email preferred as some business email systems may filter communication related to your enrollment.

NREMT Number

Your NREMT Number

NREMT Exp Date

EMS Lic in Which State

Please list the state that you hold your licence in. If you do not have one, please leave it blank.

State Lic Number

NAEMT Book Policy *

I understand that I will be turned away from class if I do not arrive with the current course book(s).

This is an NAEMT policy. A link to purchase your book will be in your confirmation email.

Required EPC Book? *

I have the current EPC book and will bring it to class.

I need the book. (+129.99)

Shipping Option *

No time to ship. Book will be given at the class.

Coupon

Amount

Discount Amount

Gross Amount

Payment Method *

Credit Card Paypal

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

By registering for this event, I accept Terms and Conditions