MIAMI DADE COLLEGE MEDICAL CAMPUS
EMS DEPARTMENT
The 19th Annual Randy Boaz Memorial ALS COMPETITION
Registration Form
REGISTRATION WILL BEGIN APRIL 15, 2020
Return this form completed along with the registration fee of $200 by May 29th 2020
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
