MIAMI DADE COLLEGE MEDICAL CAMPUS

EMS DEPARTMENT

The 17th Annual Randy Boaz Memorial ALS COMPETITION

Registration Form

Return this form completed along with the registration fee of $175.00 by June 30th, 2017

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