3rd Ride Request form

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3rd Ride Request form

At this time 3rd rides are limited to students of an accredited institution teaching an EMR, EMT, AEMT, or Paramedic program, or first responders part of a Hughes County first response team (Fire, EMS or Law enforcement).

You will receive a confirmation of the dates you are scheduled to 3rd ride. This form is only a request and as such should not be construed as confirmation of the dates you have listed

3rd Riders are not allowed to spend the night at the station and will be scheduled for 8am to 8pm

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* Indicates required question

Email *

Your email

Name *

Your answer

Name of Institution *

Your answer

Dates you are interested in 3rd riding on. *

Your answer

Submit

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