You are completing the online application for the Coral Springs Regional Institute of Public Safety's EMT-Basic program. Upon successful completion of this program you will receive a Certificate of Completion and upon turning 18 years of age be eligible to take the Florida state EMT exam and also the NREMT.

All students are required to complete this application and all applications are pending until they have been reviewed for accuracy and the student is notified of acceptance.

Thank you for choosing the Coral Springs Regional Institute of Public Safety as your educational provider.

There is mandatory classroom training at the Coral Springs Regional Institute of Public Safety. During this orientation, students will complete the American Heart Association's BLS Healthcare Provider course, review the rules and regulations (they will receive and be tested on the rules and regulations of the program prior to the class start date), and begin their EMT training.

Students not meeting the minimum requirements for class, will not receive a Certificate of Completion at the end of class. Not receiving this certificate means the student cannot register to obtain their EMT License.

All students are required to complete the Student Enrollment Agreement. This form will be made available to you in your MyCSRIPS account after your successful enrollment into the class.

In consideration for my acceptance to a training, testing, and/or educational program at the City of Coral Springs, I agree to sign this Release and Waiver. Accordingly, I agree to unconditionally release, waive, and discharge the City of Coral Springs, its Commission members, employees, agents, and servants, all hereafter referred to as “releases,” from all claims and causes of action, that I, my personal representatives, assigns, heirs, and next of kin, may have for any loss, damage, or injury to person or property, whether caused by the negligence, or otherwise of the releases in connection with my participation in any training, testing, and/or educational program at the City of Coral Springs. In addition, I agree to indemnify completely, the releases against all claims, demands, made by or on behalf of me in relation to my participation in any training, testing, and/or educational program and all causes of actions arising out of my own actions or involvement with the City of Coral Springs.

The physical requirements for the training, testing, and/or education program that I want to participate in have been explained to me and I certify and warrant that I am in good health and physical condition and able to participate in all activities that may be required. I also understand that I may come into contact with hazards, including but not limited to, blood borne pathogens, fire, and hazardous chemicals that may cause great bodily injury or death. I fully realize and appreciate the foregoing risks and freely and voluntarily accept those risks. Additionally, I agree to adhere to the applicable rules and regulations of the City of Coral Springs.

In addition, I authorize the City of Coral Springs or its agent to conduct a required criminal background check. I understand and authorize the City of Coral Springs to disclose this information to any and all clinical sites I may be involved with during my education at the City of Coral Springs. I understand and agree that I may be denied entry into the program, or removed from the program, due to an unacceptable criminal background, as determined by the City of Coral Springs, in their sole discretion.

I HAVE CAREFULLY READ THE FOREGOING RELEASE AND WAIVER AND KNOW THE CONTENTS THEREOF AND HAVE SIGNED THIS RELEASE AND WAIVER AS MY OWN FREE ACT.

I expressly agree that this Release and Waiver is intended to be as broad and as inclusive as permitted by the laws of the State of Florida, and that if any portion thereof is held invalid, it is agreed that the balance shall notwithstanding, continue in full force and effect.

You will now be directed to your course selection. Please be sure to select YOUR high school so you are registered correctly.

After your application is reviewed, you will receive a welcome letter with any further instructions necessary. Should you have any questions, please send an email to csrips@coralsprings.org.