East Texas Gulf Coast Regional Trauma Advisory Council
March 22, 2008 Airway Class
Lake Jackson

7:30 a.m. - 5:00 p.m.
Last Update 3/06/08 3:32 p.m.

Open Slots: 0--------------------------------------------------------- Registration Information

Name

Organization

Amount

Check #

Bouillion, Michael

Sweeny EMS

$25.00

14282

Caldwell, Linda

Brazosport College

$25.00

2597

Cornwell, Jr, Billy Joe

Lake Jackson EMS

$25.00

2663

Dahse, Virginia

Clute EMS

$25.00

543

Hebert, Judy

Brazosport College

$25.00

1819

Jones, Ryan

Sweeny EMS

$25.00

14282

Kloss, Kenny

Central EMS

$25.00

17086

Landry, Yvonne

Central EMS

$25.00

17086

Lewis, Chris

Clute EMS

$25.00

543

Long, Vernon

Brazosport College

$25.00

4695

McElroy, April

Clute EMS

$25.00

543

McFadden, Sophia

Dow Health Services - Texas Ops (Freeport)

$25.00

1611

McMillian, Pam

Clute EMS

$25.00

543

Mrnustik, Mark

Sweeny EMS

$25.00

14282

Powers, Jacob

Clute EMS

$25.00

543

Reddix, Mason

Central EMS

$25.00

17086

Reeves, Brandy

Clute EMS

$25.00

543

Rodriguez, Jeremy

Clute EMS

$25.00

543

Torres, James

Sweeny EMS

$25.00

14282

Upton, Ryan

Central EMS

$25.00

17086

Waguespack, Mike

Clute EMS

$25.00

543

This class is full. If you would like to be put on a waiting list for this class, submit your application with a number
where you can be reached. You will be notified if a slot becomes available.
You can submit your registration fee if a slot becomes available.
Class size is limited and available on a first come first serve basis.

You are NOT registered in this class unless your name appears in the roster above.

If you have registered but not paid your fee, or if you have paid your fee but have not registered,
it will be noted above. You will NOT received your Course Completion Certificate until all discrepancies are resolved.

Registration fees are NOT refundable.

We prefer that the Airway Course Registration forms may be mailed along with your check made payable to:

East Texas Gulf Coast Regional Trauma Advisory Council
PO Box 654
Fulshear, TX 77441

However, if you are submitting your registration form less that 7 days prior to the course, you may
fax the registration form to the RAC Office at 281 346-2722 and mail your check to the address above. In most cases,
registering less than 7 days prior to the course will delay receipt of your course completion certificate.

Contact me at 713 906-8634 or wayne.morris@txun.net if you have questions.

Click here for Airway Course Registration form