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Please complete the following form to register for Educational Classes provided through the Conemaugh Learning Institute, Department of Continuing Education.

Please note that this is not a secure website. All information you submit is given voluntarily and will only be used for services through Conemaugh Health System. Your information will never be shared or sold. 

First Name:
Last Name:
Discipline:
Street Address:
Address 2:
City:
State:
Zip Code:
   
Employer:
Department:
School Name:
Home Phone:
Work Phone:
Email Address:
   
Payment Total:

Mail check or money order made payable to "MMC" to:
Conemaugh Memorial Medical Center
Attn: Courtney Boast
Department of Continuing Education
Medical Arts Building GS 2037
1086 Franklin Street
Johnstown, PA 15905

To pay by credit card:
Call (814) 534-1164