I understand if I have any  conditions, limitations, or special needs that may affect your learning or performance,, you must notify the Coordinator in writing with appropriate documentation prior to the first night of class to ensure reasonable accommodations may be made in compliance with the Americans with Disabilities Act. 

I understand I will be subject to a background check form to include information pertaining to any Criminal Background Record/Information, Motor Vehicle Records, Social Security verification, and the Sex Offender Registry list. All information gathered will be held in confidence with State Law and Town of Stratford Guidelines. 

By submitting this form, I understand that I am enrolling for the specifed SVEMSA EMT Course. I will be responsible for making the final payment of $630 by the first night of class. Payment arrangements may be made by contacting the President of SVEMSA by emailing to svemsa.smos@gmail.com. Payment arrangements are not guaranteed. I understand this deposit is non-refundable. At the discretion of the SVEMSA President, I may defer to a later class.