2019 Certified Pump Operator Class
Presented by the Fairfield Regional Fire School
Class begins on Tuesday, March 26, 2019
Weekdays 8:30-4:30 p.m.

Course Dates: March 26, 28 April 2, 4, 9, 11
Written Exam: Tentative Tuesday, April 30
Classes to be held at the Fairfield Regional Fire School,
205 Richard White Way, Fairfield, CT 06824
(when using GPS use 205 One Rod Highway, Fairfield)

NOTES FOR FRFS STAFF
Your answer
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Primary Email *
Your answer
Home Phone
Your answer
Cell Phone *
Your answer
Department Affiliation *
Your answer
Department Authorization to Attend Training *
Once your application is received, an email will be sent to your Chief or Supervisor listed above for their approval to take the class. No student will be enrolled without consent from their sponsor department.
Required
Authorizing Supervisor's Name *
Your answer
Authorizing Supervisor's Email *
Your answer
Authorizing Supervisor's Phone Number *
Your answer
Over 18 years of age? *
Required
Method of Payment *
$320 per student
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service