H.E.R.O. Training

Helping Emergency Responders & Operations

H.E.R.O. Training
PO Box 1427
Thomaston, GA 30286
ph: 770-468-1121
aaustin@herotrng.com

Course Registration

Please fill out the following form when registering for any of the H.E.R.O. courses

*First Name:

*Last Name:

*Email:

*Mobile Phone:

*Address Line 1:

*City:

*State/Province:

*ZIP/Postal Code:

Contact Preference:

How can we best reach you?

*Course Requested:

If this is not a course already on the schedule, please list the course you are most interested in.

Requested Start:

Please identify a date you may be available to take the course

Request End:

If this is a two-day course, please give a second date for completion.

*Please enter your state license information to include license number and state if different from Georgia. If you have NREMT only, please list that. Only one EMS license ID will be required (state or NREMT) unless you are signing up for initial licensing course

*Provider Expiration Date:

Other comments regarding your request:

If you are registering an employee for a course, please let us know if we need to contact you as well as the person being registered for the program. At a minimum, please provide the following:

Service Name
Contact Person
Contact's email address and/or phone:

Submit Your Message:

We will make every attempt to offer the course on the dates and times you have selected if applicable. Some courses required a minimum of 30 day's notice, and we will let you know if that is the case when your registration form is submitted.

Web Hosting by Yahoo!

H.E.R.O. Training
PO Box 1427
Thomaston, GA 30286
ph: 770-468-1121
aaustin@herotrng.com

﻿H.E.R.O. Training

Course Registration

Course Registration

H.E.R.O. Training