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 St Miami, FL 33127