LAFD Youth FIRE Program
Youth FIRE Program intake form. Participants must be 14-18 years old AND in High School.
Next programs start date:
Harbor- Spring 2020
Metro- Sept 28 - Nov 16
Valley- Oct 5 - Nov 23
Which FIRE Program Location are you interested in?
Harbor- Drill Tower 40- 330 Ferry Street, San Pedro
Metro- FHMTC- 1700 Stadium Way, Los Angeles
Valley- DT 81- 14355 Arminta St; Panorama City,
If you are a returning participant of this program, which phase did you participate in last?
Phase I - Beginner
Phase II - EMS
Phase III - Advanced
Phase IV - Leadership
Date of Birth (mm/dd/yyyy)
Phone Number (For example: xxx-xxx-xxxx)
Parent Phone Number (For example: xxx-xxx-xxxx)
Medical Concerns (allergies, asthma, medications, etc.)
High School currently attending?
School ID Number
Have you attended any other LAFD youth programs? (Check all that apply)
High School Magnet Program
Youth F.I.R.E. "Academy"
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