Class Registration Form • Village of Trumansburg

Full Name:

Email Address:

Phone Number:

Class Requested:

Requested Class Date: Please provide your preferred date for the class

Who is paying for this registration?:

Employer Information: If employer paid registration, please provide name of employer, employer contact name, address, and phone number of employer.

By submitting this form, you acknowledge that registration is subject to class availability and confirmation. You will be contacted by EMS staff to confirm your registration and provide additional details about the class.

The Trumansburg EMS Department offers various training classes throughout the year. Please complete this form to register for a class. We will contact you to confirm your registration and provide class details including date, time, location, and cost information.