Continuing Education Registration

Welcome to DCC's Electronic Non-credit Course Registration. To register for a course or courses online, please fill in the following information and then click the "Continue to Payment" button at the bottom of the form. You may use this SECURE online form to make payment via Mastercard, VISA, American Express or Discover.

*required fields

About You

Birth Date* Year:
Sex:* Male Female
First Name:*
Middle Initial(s):
Last Name:*
Mailing Address:*
Day Phone:* Area Code: Number: Ext:
Evening Phone: Area Code: Number: Ext:
Email Address:*

About Your Registration


About Your Payment

Important! If your course fees are to be paid by your EMS Agency, you must provide the EMS Agency Name and Code in the space provided below. If you do not know your Agency Code, but do know the Agency Name, enter the Agency Name and click "Continue". If you are not sure what your Agency information is, call the DCC EMS office at (845) 298-0717. If you do not provide Agency information you will be required to enter credit card payment via Mastercard, VISA, American Express or Discover when you click "Continue".

Enter your Agency Name and Agency Code (if applicable).

EMS Agency Name: EMS Agency Code:

Click "Continue" to complete your registration.