Training Registration Form

*Notice: By submitting this form you accept the cancellation policy as follows:
Cancellations received prior to 3 weeks before the start date of class will receive a full refund. Cancellations received 8-21 days prior to the start date of class will receive a 50% refund. Cancellations received 0-7 days prior to the start date of class will not receive a refund.

Select Your Course
Student Info
NameStudent's full name
DepartmentOrganization name
PhoneBest contact phone number
RSTC Medical Statement RequirementI understand my truthfully completed RSTC Medical Statement is a prerequisite for participation in any Dive Rescue International program involving in-water activity and that any affirmative answer in the Medical Questionnaire section of that form requires physician signature and clearance in order to participate. I understand failure to provide this document on or before the first day of class disqualifies me from participating in-water and that no refunds will be offered to me or my department should I fail to provide it and that his form is available at
Billing AddressBest billing address
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Purchase Order Number
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Contact Information

Address: 201 North Link Lane Fort Collins, CO 80524-2712
Phone: (800) 248-3483