ITLS Course

Date/Time
Date(s) - January 17
9:00 am - 6:00 pm

Location
Parkersburg Fire Station 6

CLASS DATES: Jan 17TH AND 18th, 2019
TIMES: 0900 TO 1800
LOCATION: Parkersburg FD Training Center (Behind Station 6)
2311 Camden Ave.
Parkersburg, WV 26101
SPONSORED BY: Air Evac Lifeteam
CLASS LIMIT: 20
REGISTRATION FEE: $40.00
CONTACT FOR REGISTRATION:

Michael E. Tanner
(304)482-9894
michael.tanner@air-evac.com

Information for Registration

Name:_______________________________ EMR___ EMT___ Paramedic____ Nurse____
Other______________________________
Address:_______________________ City:___________________ State:_______ Zip:________
Phone:____________________ Email:________________________________
Certification: State:______ Number:________________ Expires:________________
National Registry Number:________________ Expires:_______________
*We must have this information to enter a student into the database*