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Class Registration

Use the form below to register for Fire-Rescue Academy course offerings. It is necessary to submit a separate form for each class request.

Last Name«
First Name«
Social Security Number« Last four digits ONLY
Student E-mail Address«
Career/Volunteer ID Number Last six digits ONLY
Home Telephone Number« Include dashes (Example XXX-XXX-XXXX)
Station Name«
If 'Other' please specify below.
Other Jurisdiction Please specify
Shift Career Only
Course Offerings«
ALS Offerings«
Company/Training Officer«
Company/Training Officer E-mail«
Fields marked with "«" are required.

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