Course Registration "*" indicates required fields X/TwitterThis field is for validation purposes and should be left unchanged.If you are registering for another person, please enter their information in the form fields on this page.This field is hidden when viewing the formEvent IDThis field is hidden when viewing the formCourse TypeThis field is hidden when viewing the formCourse DateThis field is hidden when viewing the formCourse LocationAttendee InformationName* First Last PronounsThis field is hidden when viewing the formPronounsoptionalPrefer not to sayThey/Them/TheirsZe/Hir/HirsShe/Her/HersHe/Him/HisOther (enter below)Other PronounsPlease tell us your preferred pronounsEmail* *Please ensure that this is the email of the student who is taking the course. If you are a university student, please use you personal email not your university email.Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone*if you are outside of the US, please include your country code (e.g. 61 2 9876 5432 for AUS)Resume Upload* Drop files here or Select files Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 5 MB, Max. files: 3. If you are registering for a WRC course, please upload your WFR certification(s). For Instructor Courses (WFA ITC or WFR ITC,) please upload your resume. Files should be no larger than 5MB.Certificate Provider*DMMNOLS WMWMAISOLOAerie Backcountry MedicineLongleaf Wilderness MedicineWMTCOtherPrevious Certification Expiration Date* MM slash DD slash YYYY Other Provider Name*How did you hear about us?-- Select One --Search EngineSocial MediaSchoolEmployerFriendWhy are you taking this course? I am a professional and my job requires it For personal recreational purposes Other Colorado State or NREMT continuing education credits Yes, I need Continuing Education Credits Check this box to claim Colorado State or NREMT continuing education credits towards recertification of your EMR, EMT, AEMT, or paramedic. What's this? × Continuing Education Credits Info Desert Mountain Medicine offers Colorado State EMS office and NREMT approved continuing education (CE) credits to students receiving a DMM WFR, WRC, WEMR, WEMS-R, or WEMS-Upgrade certification. Consult individual course pages for the amount of credits available for each course type. Students seeking CE credits must be a currently certified EMR, EMT, AEMT, or paramedic. CE credits are guaranteed valid for Colorado and NREMT certificate holders. EMS certification holders from other states may be able to apply DMM CE credits towards recertification; consult your state's CE policies. To claim CE credits, check the box to claim Colorado State or NREMT continuing education credits during registration. After completing registration, a DMM staff member will reach out to you via the email address you used to register for the course. Please note this email comes from a person and is not an auto-email, so it may take a few days or weeks, depending on how soon your course starts, for us to get in touch with you. Remember to check your spam folder. We will request you provide us with your NREMT EMS ID# or state certification #. After successful course completion, you will receive a pre-filled CE form to sign indicating the amount of credits completed by topic. It is the students' responsibility to submit this form to your state EMS office or NREMT to claim CE credit. Would you like to receive College Credit with your course? WFA - 1 College Credit - $105 Total college program cost = $225, ($105 due now) For WFA, WFR and WRC courses, DMM has partnered with LivedX through the University of Colorado, Denver to provide college credits. Read more here.Would you like to receive College Credit with your course? WRC - 2 College Credits - $105 Total college program cost = $343, ($105 due now) For WFA, WFR and WRC courses, DMM has partnered with LivedX through the University of Colorado, Denver to provide college credits. Read more here.Would you like to receive College Credit with your course? WFR - 3 College Credits - $105 Total college program cost = $462, ($105 due now) For WFA, WFR and WRC courses, DMM has partnered with LivedX through the University of Colorado, Denver to provide college credits. Read more here.Date of Birth* MM slash DD slash YYYY Product Name* Price: Coupon CodeTotal This field is hidden when viewing the formTrigThis field is hidden when viewing the formDMM-*Credit Card*Card Details Cardholder Name