Women & Fire 2019 - Participant Application
WELCOME! Both Paid and Volunteer Firefighters are welcome to participate in Women & Fire and experience the weekend skills stations and workshops.
Email address *
Last Name *
Your answer
First Name *
Your answer
Street Address *
Your answer
City, State, Zip *
Your answer
Phone # *
Your answer
Date of Birth *
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Employer (help us get to know you!) *
Your answer
If FF, Career or Vol/Resident? *
T-shirt Size (unisex) *
Lunch and snacks will be provided throughout the weekend. Please let us know if you have any dietary restrictions. *
Insurance Company *
Your answer
Insured Name/Relation *
Your answer
Insurance Policy # *
Your answer
How did you hear about Women & Fire 2019? *
Your answer
Participant registration fee is $200. All proceeds from the weekend will go to support Camp Blaze. Online payments accepted at: www.campblazefirecamp.org/donate *
FF1 Cert and Proof of FIT test is REQUIRED. (this is obtained from your fire department and you will not be allowed to participate in live fire without this document on file). Please email your documentation to: campblazefirecamp@gmail.com *
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