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Northern Cairn, LLC | P.O. Box 172, Charlevoix, MI 49720
231-437-3400 | toll free: 866-221-8176 | info@northerncairn.com

Registration Form

Registration is completed in 2 steps, first fill out the form below and hit submit. Then pay for your course using the payment options tab under register.

If your payment is not received within 48 hours you will not be registered for the course.

If a course is cancelled by us, you will be refunded your full course fee. If students cancel within 45 days from a course there is no refund.



Full Name*
Email*
Age*
Credentials
Phone Number*

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Address*

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Dates of Course You're Attending*
NREMT/State Licensure (for EMS professionals)
Prior Courses You Have Taken
CPR Certification Level and Expiration
T-shirt Size (given on courses 3 days or longer)
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