Advancing the EMS profession

Registration Form

EMS On The Hill Day -  April 6, 2022 (briefing on April 5) 
Early-bird Registration is only $20 for EMS practitioners and $40 for Physicians until March 4, 2022. After March 4, 2022, registration is $40 for EMS practitioners and $60 for Physicians. Registration is non-refundable due to the fact that costs are incurred upon registration to the event. Registration is open until March 22, 2022.  For questions regarding registration, contact Cindy Bussell at Cindy.Bussell@naemt.org or 317-745-0804.

The Headquarters Hotel is the Hilton Crystal City. A block of rooms has been reserved for April 3-8, 2022 for $229 plus tax single/double. The special room rate will be available until March 4, 2022, or until the group block is sold out, whichever comes first. Reserve your room HERE. To make reservations by phone, you may call the hotel directly at 800-445-8667 and give them the group code "NAEMT". 

 
EMS On The Hill Day Registrants: Your HOME ADDRESS is required on the registration form and will be used to identify your Members of Congress and schedule your meetings accordingly. Please include your CELL NUMBER in case we need to reach you during the event.
 
PERSONAL INFORMATION
 
First Name *
Last Name *
Middle Initial
 
  Home Address
Street *
City *
State*
Zip*
 
Cell Number*
E-mail Address*
 
PROFESSIONAL INFORMATION
 
EMS Agency or Organization*  If not applicable, enter N/A    
Title
Medical Position*
   

Additional EMS On The Hill Day Information

For 2022, EMS On The Hill Day participants will have at least three meetings scheduled, one with the Member who represents you in the House of Representatives, and one with each of the two Senators who represent your state. If there are additional Members of Congress with whom you have a relationship, please let us know below. Please note that NAEMT cannot guarantee you will be able to join meetings with additional Members. 


Please enter additional information as described above here. (500 character limit)

If there is any other information you would like to share, please do so here. (500 character limit)

I understand and agree that photos and images from EMS On The Hill Day may be published and used for future promotions of the event.


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