ARFF Course Registration - Rocky Mountain Emergency Services Training Center

ARFF 2019 REGISTRATION FORM

ALL CLASSES ARE PREPAY

Please include payment by check, purchase order, or credit card. PAYMENT MUST BE RECEIVED PRIOR TO THE COURSE.

Re-certification Course dates:

March 26, 27
April 9, 23, 24
May 14, 15,
June 11, 12,
July 16, 17
August 13, 14
September 10, 11
We will add additional dates as these classes fill. If you have a request for an additional date, please contact us.

ARFF 40 hour Course dates:

April 15-18
May 20-23
June 17-20
August 19-22
September 16-19
**If you have a request for an additional date, please contact us.

CANCELLATION POLICY

• Full Refunds will be granted for cancellations that are confirmed with RMESTC Coordinator more than two weeks prior to scheduled class date.
• 50% Refund will be granted for cancellations confirmed with RMESTC Coordinator within two weeks of scheduled class.
• No refunds will be granted for day of cancellations or no shows.

GROUPS AND SPECIAL ARRANGEMENTS

• Special scheduling arrangements can be made for groups of eight (8) or more from one agency. Please call for availability or to request additional dates.
• Classes can be custom tailored for groups of eight (8) or more from one agency to meet specific needs or scenarios.
• Lunch is provided with all registrations.

INCLUSIVE PRICING WITH HOTEL OPTION

• If you choose to stay at the Wingate by Wyndham as an option on this registration, breakfast is provided, transportation will be provided to & from the airport, transportation to & from training, and transportation to your location choice for dinner.

Organization Information
The contact person for the organization you are representing for billing purposes.
Contact Name*
This should be the person from the organization registering students. If you are only registering yourself you will be the contact name and the student.
First Last
Organization*
If you are not with an organization, just type your name.
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Organization Contact Phone*
Organization Contact Email*

Student Registrations

Student Name	Choose a 40 Hour Basic ARFF class date	Choose a Re-certification class date	Total for this student (US dollars)
				Edit Delete
There are no Students.

Total Cost
Price: $0.00
Payment Option*
- Mailing Check
- Mailing Purchase Order
- Calling with Credit Card Information (406)442-2821
MAKE SURE YOU'VE ADDED STUDENTS BEFORE SUBMITTING REGISTRATION
Comments
This field is for validation purposes and should be left unchanged.

Student - Class Registration
Student Name*
First Last
Student Email*
Student Cell Phone Number
Health Requirements*
The student is physically fit and in proper health condition to undergo the training. In addition, said student is able to wear SCBA masks in compliance with safety regulations (limited facial hair, eye glass compliance, etc). This agency indemnifies and saves harmless RMESTC from any claims arising out of or related to heart attacks or other injuries that result from poor physical condition.
The employer and/or student has read the health regulations and the student complies with health requirements.
Class Registration*
Choose the type of class
- 40 Hour Basic ARFF
- One-day Recertification
40 Hour Basic ARFF fee (US dollars)
Price: $1,395.00
Choose a 40 Hour Basic ARFF class date*
This class is a four-day class. Class may be cancelled if less than 8 registrants.
One-day Recertification fee (US dollars)
Price: $935.00
Choose a Re-certification class date*
Class may be cancelled if less than 8 registrants.
Is this student from Canada?*
- Yes
- No
Dry Chemical Surcharge for Canadians (US dollars)*
Canadian students only
Price: $100.00
Hotel Accommodations
You will need to provide a personal credit card for incidentals upon hotel check-in.
Does this student need a Hotel Room*
- Yes
- No
Hotel Check-In Date*
Nightly Hotel Cost (US dollars)
Single occupancy, breakfast at hotel, transportation to and from training facility, transportation to and from dinner location of your choice within Helena.
Price: $98.00
Number of Nights at Hotel*
Tell us how many nights you want reserved. Come early or stay and enjoy Southwest Montana after your class is complete.
Please enter a number from 1 to 20.
Total for this student (US dollars)
$0.00
Name
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