MIAMI DADE COLLEGE MEDICAL CAMPUS
EMS DEPARTMENT
The 17th Annual Randy Boaz Memorial ALS COMPETITION
Registration Form
REGISTRATION WILL BEGIN APRIL 15, 2019
Return this form completed along with the registration fee of $175.00 by July 1st, 2019
Assure that names are legible and spelled properly. All checks received are non-refundable.
Make all checks payable to: Miami Dade College
Send checks to: Miami Dade College Medical Center Campus
Attn: Ricky Barnet EMS Department
950 NW 20th Street
Miami, FL 33127
