Southern Michigan S-212 Registration Form
Thanks for your interest in the S-212 Wildland Fire Chain Saw training.

Class will start promptly at 0900 on Monday July 15, 2019 and field exercises will conclude at 1700 on Friday July 19, 2019. Participants must attend all 5 days in full to receive a certificate.

Please fill out all of the information below.

Email address *
Your Name *
Your answer
Your Agency or Organization *
Your answer
Phone Number *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Relationship *
Your answer
Emergency Contact Phone *
Your answer
Please describe any previous chainsaw experience that you have? *
Your answer
Please explain why you want to take this class and what you expect to get out of it? *
Your answer
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