Register/Request Information Name *FirstLastTitle *Agency *Location (city, state) *Phone Number (ex 9999999999) *E-mail *How many students are you sending? (minimum of 3 recommended) *What ultrasound equipment will you be using? *Undecided - (we can help with this)Philips LumifyTerasonSonositeButterfly iQClariusOtherUltrasound will be used in my agency for: *UndecidedGround EMSHelicopter EMSCritical Care TransportCommunity ParamedicineSmall Community ED/ClinicOffshore/Industrial ParamedicineOtherWhich course date are you interested in? *April 21-22, 2018Later courseI would like to be contacted about arranging my own courseI am also interested in:Discussing ultrasound device optionsDiscussing device deployment strategiesDiscussing research considerations with EMS ultrasound in your agencyDiscussing our "Course in a Box" programDiscussing our QA/QI offeringsDiscussing something not listed hereComment or MessageMessageSubmit You can register for the April 21-22 Class on eventbrite here. Or we can get back to you with an invoice.