2. Instructions

   Please fill out the form with your information, then hit submit at the bottom of the page. If you are not affiliated with a department, please enter N/A. If there are any questions or comments, please leave them in the comments section and we will get back to you. Alternatively, you can also call or email the office with questions. After you submit the form, we will email you a confirmation within 7-10 business days to verify that you are registered for the class. You will receive more information from your instructor via email closer to the start date of the course, so make sure to check your email periodically. 

   Please note, all fire classes are registered through the LMS system, not the County. For more information, please see your department Chief. 

4. First Name*
5. Last Name*
7. Email Address*
8. Cell/Home Number*
10. Street Address*
12. City / Town / Village*
13. State*
14. ZIP*
16. Your Fire Department*
17. Chief's Email Address*
19. Please select a Class*
    -- Select One --BEMT OriginalBEMT RefresherCFR OriginalCFR Refresher
20. Class Start Date
22. Class location*
23. Comments
Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field