EMT Refresher Registration Form Upon receipt of your registration form, Pelham Training will reach out to you via e-mail to the e-mail address you have listed on your registration form, to confirm registration. Depending on how you have your e-mail inbox configured, this important email may go to your junk mail folder. If you have not received a response within 2 business days of transmitting your application to us, please check your junk mail folder. If after doing so you still have not received a response, please contact us.. Methods of Payment: The balance is due on or prior to the first day of class. We accept cash, check or card. Student Information (All Fields Required) Name * First Last Name * Last Address * City * State * Zip Code * County * Cell Phone * Email * Age * Date of Birth * EMT REFRESHER DATES * January 28 - 30, 2021 March 25 - 27, 2021 May 27 - 29, 2021 July 29 - 31, 2021 September 30 - October 2, 2021 Additional Information, Questions or Concerns If you are human, leave this field blank. Submit