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Passport to Care Interest Form

  1. Schertz EMS Passport to Care

    Please fill out the following information if you are interested in becoming a Passport to Care member. Upon completion you will be contacted to complete your membership.  If you prefer to complete the registration process over the phone, please call 210-619-1450 after submitting this renewal.

  2. Electronic Signature Agreement*
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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