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Course Registration Form
Please ensure payment is submitted with registration form.
ONLINE Registration and Payment is a TWO-STEP process: 1) Go to the Courses page, add the course(s) to your cart, then complete the secure online payment process. 2) After completing the payment process, you should b e re-directed to this page, if not, manually return to this page, complete the information, then click on the blue submit link at the bottom of this page.
Registration and Payment submitted via Mail: Please press the white PRINTER FRIENDLY button (at the bottom of the form) THEN complete the form, print the form, and remit with payment. Payments may be made in U.S. Funds using cashier's check, money order, or Company PO.
Class Location: Karns Fire Department Station #1, 6616 Beaver Ridge RD, Karns, TN next to the Karns Lions Community Park.
Each class block is scheduled for 4.0 Contact Hours. These contact hours may be converted to up to 0.4 CEU per class for First Responders, EMTs, and Paramedics. The all-inclusive fee for each module is only $20.00 per person.
Lead Instructors: Ronnie D Patterson and John S Holloway.
Please contact us if you need housing information or travel directions.
These continuing education activities are approved by Benchmark Medical Services, LLC, an organization accredited by the Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS). CECBEMS is the national accrediting body established to develop and implement policies to standardize the review and approval of EMS continuing education activities. For additional information on CECBEMS, go to www.cecbems.org.
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COURSE COMPLETION: Course completion is defined as: The participant successfully demonstrated the core knowledge on said date and Benchmark, its faculty, staff, assistants, and agents neither implicitly nor explicitly guarantees any degree of future performance. Therefore, by participating in this activity, the participant hereby indemnifies and holds harmless Benchmark, its faculty, staff, assistants, and agents from any claims that may arise from participation in this activity or activities. The participant furthermore agrees and understands that comprehension and performance is an individual responsibility; that Benchmark does not license or certify individuals in skills or procedures; and that the participant must adhere to local standing orders, protocols, or other medical direction, and within the individual's scope of practice.
COURSE COMPLETION DOCUMENTATION REPLACEMENT POLICY: Post Course documentation is mailed via U.S. Post Office to the address entered during registration. Post course documentation is presumed to have been received unless returned by the U.S. Post Office. If returned by the U.S. Post Office, the documents will be held until you contact us. A replacement fee of $25.00 per document will be assessed for any reason other than an error on our part.
COURSE MATERIALS: Course materials when applicable are usually mailed within 3 - 5 business days of registration completion. Online course codes and instructions are usually emailed within 1 - 2 business days of registration completion. Benchmark does not accept liability or responsibility for shipments lost or damaged.
PRIVACY NOTICE: Submission of information will be retained for course attendance, participation and reporting as may be required by the course sponsor and or distributor of continuing medical education certificates. This information may be used to notify the participant of future continuing education or training opportunities. Benchmark protects participant personal information submitted against public inspection and disclosure absent a subpoena or for the purposes of health oversight activities as described herein.
REFUNDS: Courses missed may be re-scheduled and in most cases without additional payment. Courses canceled before the registration deadline may receive a partial refund.
SUBMISSION: By submitting registration information and participating in the registered course, you attest that you have read, understand, and agree with the course disclaimers, terms, and conditions, and that you have submitted to the best of your knowledge correct and true information. You also acknowledge that it is your responsibility to notify Benchmark in the event of any change in information within thirty days of such change.
