Class Registration Form

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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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Baltimore County, Maryland