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LAFD Youth FIRE Program
Youth FIRE Program intake form.

Next program for METRO and HARBOR to start in SPRING 2019!!

Email address *
Which FIRE Program Location are you interested in?
If you are a returning participant of this program, which phase did you participate in last?
Last Name *
Your answer
First Name *
Your answer
Date of Birth (mm/dd/yyyy) *
Your answer
Gender *
Ethnicity *
Phone Number (For example: xxx-xxx-xxxx) *
Your answer
Parent Name *
Your answer
Parent Phone Number (For example: xxx-xxx-xxxx) *
Your answer
Zip Code *
Your answer
High School currently attending? (if applicable)
Your answer
Shirt Size
Have you attended any other LAFD youth programs? (Check all that apply) *
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