Colorado Firecamp Course Application
You will receive a confirmation email from Colorado Firecamp within a week of application submission.

Registration is not complete until the non-refundable course deposit of $125 is paid. 
Firecamp will send an application confirmation email with a course deposit payment link. 
(Course deposit requirements do not apply to agency personnel.)

Classes will be filled in the order of student application submission.

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


Sign in to Google to save your progress. Learn more
Student's Full Legal Name
(Your legal name will appear this way on your certification.)
 *
Student's Job Title
Student's Full Billing Address: 
"Street Address 
City, State Zip code"
 *
Student's Phone Number (xxx-xxx-xxxx format) *
Student's E-mail Address *
Student's Gender (for rooming purposes) *
Fire Department, Agency, or Company Name

If you are not with an agency, what city and state are you coming from?
 *
Agency Billing Address:
"Street Address 
City, State Zip code"
Supervisor's Name
Supervisor's Telephone Number (xxx-xxx-xxxx format)
Supervisor's Email for Invoice
Does student meet all course prerequisites, if any? *
(S-130/190 Basic Firefighter and S-112 Wildland Fire Chainsaws do not have prerequisites.)
Required
Select the Class *
Choose your desired class from the list below.  
Payment *
If your agency or fire department will be paying, select "Agency".  
If you will be paying for yourself, select "Self".

Payments can be made via cash, check, online link, or over the phone.

Military veterans also have the option to submit paperwork for using the Post-9/11 GI Bill® or AmeriCorps Education Award. Unfortunately, at this time we are only able to accept AmeriCorps Education Awards from military veterans.
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? If you do not have these items, loaner equipment is available.
CHAINSAW COURSES ONLY (S-112): Does the student have Personal Protection Equipment for chainsaw related courses (Long sleeve shirt, long pants, leather boots/gloves, chaps, hardhat, eye and ear protection)? Will the student be bringing a chainsaw and related equipment? If you do not have these items loaner equipment is available.
Is the student arriving by bus (Bustang) the day before the class starts, and leaving by bus (Bustang) the day after classes? 
If so, Colorado Firecamp will arrange to have you picked up from the bus stop in Salida. More information is available in the confirmation email you will recieve after your application has been processed.
 *
Please note: If you are utilizing Bustang, you need to select 2 extra nights lodging.
Required
Does the student have any dietary restrictions/food allergies? Please describe.
Does the student need an extra night of lodging before and/or after the course?   
*Each extra night of lodging costs $35. 
*We highly suggest this option for anyone traveling from more than 2 hours away. 
*Please note: There are no meals offered on extra nights, so please plan ahead.
 *
If the student will be under the age of 18 by the first day of class, please provide the parent or legal guardian's email address below.
Comments (Optional)
After selecting "submit" button, scroll to top of page for confirmation and payment options.
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
This form was created inside of Colorado Firecamp, Inc..