LIFE FORCE
Special Observer Program Registration

The Life Force Special Observer Program allows providers in our service area the opportunity to fly along with the Flight Crew.  Applications will be accepted for EMS, ER, ICU and communications personnel. 

Administration has set forth the following requirements for Special Observers:

  • EMT, EMT-P, RN, or MD from Life Force service area who are currently working in EMS, ER, or ICU, or Public Safety Communicators.

  • No propensity for motion sickness, claustrophobia, or vertigo

  • Maximum weight of 265 pounds

  • Attendance of Special Observer Orientation program

Orientation classes will be held each periodically. For further information contact the Life Force event line at 423-778-5427.

Complete the form below to register for a Special Observer Orientation Class.  Someone will contact you as the classes become available.

Name:

Last:     First:   Title:  

Address:
City:   State:    Zip:  
Phone:

Home:    (xxx-xxx-xxxx) Work:   (xxx-xxx-xxxx) Cell:  (xxx-xxx-xxxx)
Email:
Weight: lbs
Employer:
Comments:


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