Firestorm Training & Consulting

👤 Personal Information

Email * You MUST have access to this email - all course communications will be sent here

Legal First and Last Name * Format: First Last

Date of Birth *

Affiliated Organization * If none, put "N/A"

Cell Phone Number * Format: xxx-xxx-xxxx

Last 4 Digits of Social Security Number * This will be your Student ID number in EMS Courses

Home Address * Include City, State and Zip Code

How did you hear about us? Optional - helps us understand how students find us

📚 Course Selection

📋 Important Course Information:

Course Schedule: The EMT-Basic course runs in the Spring semester (January-June), and the Advanced EMT (AEMT) course runs in the Fall semester (August-December). Only courses that are currently open for registration will be displayed below. Courses will appear on this page when registration opens, typically closer to the start of that semester.
All EMT-Basic courses include American Heart Association BLS (CPR/AED) certification
Advanced EMT courses include both BLS and ACLS certifications
AEMT students must have EMT-Basic certification before clinical rotations begin
Attendance is mandatory per Texas Department of State Health Services requirements
EMT-Basic: TWO mandatory Saturday classes
AEMT: THREE mandatory Saturday classes
All payments are non-refundable

Select Your Course *

Emergency Medical Technician - Basic (EMT-B) Course (Hybrid) $1,500.00

💰 10% Deposit Required: $150.00 (Non-refundable)📅 Spring 2026

🎓 EMT-Basic Certification Status

Since you're enrolling in the Advanced EMT course, please indicate your current EMT-Basic certification status:

I HAVE a current EMT-Basic Certification I HAVE an EMT-Basic Course-Completion (pending NREMT Exam) I do NOT have an EMT-B Certification nor course-completion

💳 Payment Information

Preferred Payment Method *

Cash (preferred method) Debit/Credit Card ***I acknowledge the 3% Card Processing Fee*** Personal Check Cashier's Check Department/Agency Sponsorship (Agency is responsible for payment)

📋 Down Payment Notice

Once your registration is received, you will be contacted by email to set up a payment method for the 10% down-payment to reserve your seat. Your registration will not be processed until payment is received.

*Submitting this form does NOT guarantee your seat until down payment is received*

I Understand I do NOT Understand (Registration will be void and discarded)

📋 Payment Agreement

I agree to pay the listed course fee or any remaining balance by the due date. Continuance in the course, course completion certificates, and any other associated certifications will not be issued until payment is received in full.

I Agree I do NOT Agree (Registration will be void and discarded)

✍️ Terms and Conditions

By typing your full name below, you agree to all terms and conditions and will notify Firestorm Training & Consulting, LLC by email if you cannot attend a course you registered for. You understand that you are required to remit payment as described above. You understand that all payments are final and non-refundable. You also agree to adhere to all rules and policies while attending training conducted by Firestorm Training & Consulting, LLC. Any complaints or concerns shall be generated in writing and sent via email for review.

Type Your Full Name (Digital Signature) *

Date

Firestorm Training & Consulting, LLC

📚 EMT/AEMT Course Registration