On-Line Registration

On-Line Registration

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To register for an ESTA Class simply fill out the form below

OR

Log onto the NJ OEMS Certification Platform at www.njoemscert.com to register.

Please Note:

Courses are not always listed in date order on the on-line form. Please be sure to choose the correct class before submitting.

You will be emailed conformation for your class. This form does not constitute immediate acceptance into any ESTA offered class. Please complete the form in its entirety. Incomplete forms will be rejected.

First Name
Last Name
Address
City/Town
State
Zip Code
Day Time Phone
Night Time Phone
Email Address
Agency Name
I am a member of a volunteer first aid squad or fire department
I am eligible for the NJ EMT Training Fund
Please register me for the following ESTA class

for site related problems only please email

webmaster@esta-nj.com