Your registration is not complete, please scroll and make changes marked in red and then click ‘Submit Registration’ again.

 

No refunds after October 26, 2015. Up until October 26, 2015, refunds are subject to a 20% administrative fee.
Mailed payments must be postmarked by deadline to receive early-bird discount.

 

Online registration will close at midnight on November 15, 2015.

QUESTIONS?
If you have questions, please contact the Texas EMS Conference by phone at 512-759-1720 or
by email at [email protected].

CANCELLATION/REFUND POLICY
No refunds after October 26, 2015. Up until October 26, 2015, refunds are subject to a 20% administrative fee. Mailed payments must be postmarked by deadline to receive early-bird discount. Online registration will close at midnight on November 15, 2015.

You may transfer your registration to another person provided you inform Texas EMS Conference by email prior to November 13, 2015.

HOTEL ACCOMMODATION
Hotel accommodations must be booked separately. Please visit our site for more details.

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TERMS & CONDITIONS

CONTACT INFORMATION

CONFERENCE REGISTRATION

PRE-CONFERENCE CLASSES

Additional Registrant

PURCHASE ORDER NUMBER

PAYMENT OPTIONS

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Full Conference:	November 22 – 25, 2015
Pre-Conference Classes:	November 20 – 22, 2015
Trade Show:	November 22 – 23, 2015
Location:	Kay Bailey Hutchison Convention Center, Dallas, Texas

* Please select a payment method.* This form cannot be submitted if the total is $0.00.

 in the format of xxx-xxx-xxxx*Indicate Your Job Function*Type of Service*Do you make or influence the decisions on company purchases for products/services?Full ConferenceMonday OnlyTuesday OnlyPre-Conference Classes OnlyGETAC Committee MemberGETAC MemberConference – PromotionOctober 16, 2015October 17, 2015November 15th, 20153 Day – Friday, Saturday, and Sunday (November 20 – 22, 2015)2 Day – Saturday and Sunday Full Day (November 21 – 22, 2015)Saturday Full Day – 8:00 am to 5:30 pmSunday Full Day – 8:00 am to 5:30 pm
*IMPORTANT* – Please read and check the required box below.
If you do not meet the following requirements, please select a different class.
Sunday AM – 8:00 am to 12:00 pmSunday PM – 1:00 pm to 5:00 pmAdd another registrant“PURCHASE ORDER NUMBER”CREDIT CARDCHECKPURCHASE ORDER NUMBER
NOTE:NO PAYMENT REQUIREDADMIN ONLYTexas EMS Conference Terms and ConditionsCourse Descriptions Add another registrant2015 Texas EMS Conference
Registration FormYou must agree to the Terms and Conditions in order to register and attend the conference.By signing up for the conference, you agree to have your likeness reproduced in publications.
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*Required

INFORMATION USED FOR NAME BADGE – Please enter information exactly as you want to be identified.Please enter your first name.Please enter your last name.Please enter the first name you prefer for your badge.Please enter your address.Please enter your city.Please select your Province or select ‘Outside Canada’.* Please correct the following.Please select your Country.Please enter your Zip Code.Please enter a valid Zip Code or Postal Code.Please enter phone number.Please enter a valid phone number in xxx-xxx-xxxx format.Your phone number must be at least 7 digitsPlease enter your email address.Please enter a valid email address.This field is required.Please specify ‘Other’.This field is required.Please specify ‘Other’.Please select yes or no.YesNoYou must select one of the following registration options in order to submit your registration. – $225 until October 26th – $135 – $135 (See below) – $135 – ComplimentaryPlease enter a code or select a different registration option above.Please enter a valid promo code or select a different registration option above.Please enter a code or select a different registration option above.Please enter a valid promo code or select a different registration option above.Please enter a code or select a different registration option above.Please enter a valid promo code or select a different registration option above.Please enter a code or select a different registration option above.Please enter a valid promo code or select a different registration option above.Please indicate which of the pre-conference classes you will be attending
(NOTE: registration is limited.  Class is open if visible on form.)

Early-bird pricing is available until . 

Regular pricing will be from  to .

View  for complete pricing and class descriptions. 
National Association of EMS Educators Instructor Course – $450Not AttendingInitial Administrator-of-Record Course – $275Pediatric Disaster Response and Emergency Preparedness – $200Advanced Medical Life Support (AMLS) – $275Not AttendingBasic and Clinical Research Presentation Strategies – $125Critical Care Skills: Advanced Procedural Anatomy Cadaver Lab – $235Respiratory Assessment Course – $250High Angle Rescue — Basic – $225Not AttendingAdvanced Administrator-of-Record – $175
High Angle Rescue — Advanced – $225Multi-Lead Medics 12-Lead ECG for Acute and Critical Care Providers – $250Not AttendingPlease check the box below to affirm you meet the prerequisites for the Advanced AOR course.*I affirm that I have five years of EMS administrator experience, AND have successfully completed the Initial AOR course or meet the requirements within 157.11 to have an exception from taking the Initial AOR class.Mortui Vivos Docent: Anatomy for Emergency Medicine AM – $175Not AttendingAmbulance Billing Basics and Beyond – $200Mortui Vivos Docent: Anatomy for Emergency Medicine PM – $175Med-Legal. Again. This Time With Passion – $150Pediatric Potpourri, Pedi Skills for All Levels – $200Pit Crew Approach to Cardiac Arrest – $150Not AttendingIf you would like to add an additional participant, please click on the ” button below.