Colorado Firecamp course application
This form may be used in place of the NWCG nomination form (PMS 921-2). S-130/190 does not require agency sponsorship. Only classes with prerequisites require agency sponsorship and supervisor signature. Rosters will be filled on a first-come, first-served basis.

Payment can be made on-line through our SagePayments.net shopping cart at http://www.sagepayments.net/eftcart/products.asp?M_id=461312568439 (opens in new window) or by calling (719) 539-9329 with credit/debit card information or by check/money order mailed to:

Colorado Firecamp
9008 County Road 240
Salida, CO 81201

E-mail us with any questions: learn@coloradofirecamp.com or call (719) 539-9329 or fax (719) 530-0316
www.coloradofirecamp.com

Student's Last Name *
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Student's First Name *
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Student's Job Title
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Student's Billing Address *
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Student's City *
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Student's State *
Student's Zip Code *
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Student's Phone number *
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Student's E-mail Address *
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Student's Gender (for rooming purposes) *
Fire Department, Agency or Company Name
Your answer
Supervisor's Name
Your answer
Supervisor's Telephone Number
Your answer
Supervisor's Email for Invoice
Your answer
Does student meet all course prerequisites, if any? *
S-130/190 Basic Firefighter has no prerequisites.
Required
Select the class *
Select your desired class from the list below.
Payment *
Payment is expected at time of registration. You may pay the full amount now or pay the $75 non-refundable registration fee now and the balance at the time the class starts. If your agency or fire department will be paying, select "please invoice my agency." Military veterans also have the option to submit paperwork for using the Post-9/11 GI Bill® or AmeriCorps Education Award.
Does the student have Personal Protection Equipment (Nomex clothing, Line Pack w/shelter, boots, hard hat, leather gloves, eye protection) for live fire, or course related, field exercises? Some loaner equipment is available.
Your answer
CHAINSAW COURSES ONLY: Does the student have Personal Protection Equipment for chainsaw related courses (Long sleeve shirt, long pants, leather boots/gloves, chaps, hardhat, eye/ear protection)? Will the student be bringing a chainsaw and related equipment? Some loaner equipment is available.
Your answer
Does the student have any dietary restrictions/food allergies? Please describe.
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Is student arriving by Bustang bus the day before the class starts?
Does student need picked up at the Salida bus stop the evening before the class starts? Extra night of lodging costs $25.
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After selecting "submit" button, scroll to top of page for confirmation and payment options.
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