Advancing the EMS profession

Registration Form


Please complete the registration form below to register for one or both of the following events: 
 
EMS On The Hill Day -
April 10, 2019 (briefing on April 9). Registration fee: $20 
Registration will be open until March 25, 2019, and is non-refundable after that date. 
 
EMS 3.0 Finance: Developing Payer Partnerships - 
April 9, 2019. Registration: $100 / $125 after March 25, 2019.  Registration is non-refundable after March 25, 2019.

Becoming a Community Paramedic: Exploring the Core Clinical RequirementsApril 9, 2019. Registration: $100 / $120 after March 25, 2019.  Registration is non-refundable after March 25, 2019.


The Headquarters Hotel for both events is the Hilton Crystal City. A block of rooms has been reserved for April 8 - 12, 2019 for $219 plus tax single/double. The special room rate will be available until March 8th or until the group block is sold-out, whichever comes first. Reserve your room HERE. If you need assistance with your hotel accommodations, please contact Cindy Bussell at Cindy.Bussell@naemt.org.  

EMS On The Hill Day Registrants:
Your HOME ADDRESS is required on the registration form so we can identify your members of Congress and schedule your meetings accurately. Please include your CELL NUMBER in case we need to reach 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

NAEMT organizes EMS On The Hill Day participants into state-based delegations for congressional visits. If there are individuals from your state with whom you wish to be grouped, please let us know. Please note that NAEMT cannot guarantee placement in the requested group. (500 character limit)

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


REGISTRATION
EMS On The Hill Day
(Registration is $20 and open until March 25, 2019)
Click to register
EMS 3.0 Finance: Developing Payer Partnerships - April 9, 2019
(Registration: $100 / $125 after March 25, 2019. Registration is non-refundable
after March 25, 2019)
Click to register
 
Becoming a Community Paramedic:
Exploring the Core Clinical Requirements – April 9, 2019

(Registration: $100 / $125 after March 25, 2019. Registration is non-refundable
after March 25, 2019.)
Click to register