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Registration Deadline: August 1, 2019

You will be notified after August 5th if you have been selected for this event. Instructions for payment of the $300 particpation fee will be provided if you are selected.

Contact Information
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First Name
Last Name

If applicable

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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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Do you NEED to take basic firefighter training? Basic training includes the following courses: S130/190, FEMA IS-700A, and ICS-100. If you do NOT have this training self-study materials for these courses will be offered to you. Completing these courses will require at least 40 hours of online or CD-based self-paced study.
In Case of Emergency
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First Name
Last Name
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Providing this information is voluntary. Medical information will not be shared except in the event of an emergency. Knowing your dietary restrictions ahead of time will allow us to better accommodate your needs.
Dates You Plan To Attend

Indicate attendance dates or select "Entire Event".


(mm/dd/yyyy)

(mm/dd/yyyy)
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Will you require lodging and meals during your attendance at this event? (Some local participants may chose to stay with us to reduce travel times or alternately may return home at the end of every day).

Briefly describe your expectations for the training. What do you expect to learn, to bring to the course, and to experience? How will this benefit your workplace, organization, and career?

Will you have the ability to bring any equipment such as UTVs, Engines, Trucks with fuel cells and drip torches, radios or hand tools?
Supervisor Information

First Name
Last Name