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2017 Spring School Registration
Brazoria County Fire Training Center
Spring School
2017
Dates:
March 31, April 1-2 & 7-9, 2017
Safe Practice for Traffic Incident Responders (SPTIR) - Fri. March 31, 6:00 PM to 10:00 PM
Firefighting Phase I - 0800 – 1700 April 1-2 & 8-9.
Driver Simulator - April 1st. or April 2nd. 8:00 AM to 12:00 AM or 1:00 PM to 5:00 PM
Advanced Structural Firefighting - Fri. April 7th. 1800 – 2200 Sat. & Sun. April 8th. and 9th. 0800 – 1730
Costs:
Firefighting Phase I - $500.00
Advanced Structural Firefighting - $375.00
SPTIR & Driver Simulator- $25.00 Lunch Included.
Location:
605 Kelly Blvd
Angleton, TX 77515
Prerequisites:
Please read course descriptions below for prerequisites and locations of training.
Registration:
Enrollment begins Feb. 12, 2017. Please contact the Brazoria County Fire Training Center for class availability. Deadline for Preregistration is March 24, 2017.
Contact:
Neal Morton - 979-481-1283
Email registration or questions to firefield@bcffa.us.
All training offered is eligible for TFS HB2604 reimbursement
REGISTRATION FORM
Name
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First
Last
Last Four Digits of SS#
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Date of Birth
*
MMDDYEAR (NO DASHES)
Organization
*
Rank/Title
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
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China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Phone
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Fax
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Email
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Please Provide Student Email as this will be used to communicate course information as necessary.
Course Selection(s):
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THIS CLASS IS FULL FF Phase I April 1,2,8,9
THIS CLASS IS FULL Advanced Structural Firefighting - April 7 1800 hrs. and April 8 & 9
THIS CLASS IS FULL SPTIR - FRIDAY EVENING CLASS - March 31 6 to 10
THIS CLASS IS FULL Driver Simulator April 1st. AM Class 8:00 AM to 12:00 AM
THIS CLASS IS FULL Driver Simulator April 1st. PM Class 1:00 PM to 5:00 PM
Driver Simulator April 2nd. AM Class 8:00 AM to 12:00 AM
Driver Simulator April 2nd. PM Class 1:00 PM to 5:00 PM
Requirements: Please check that you agree to each of the below requirements.
*
You must be a minimum of 18 years of age.
To receive certification for the class, a student must attend and participate in each class.
VERIFY PPE REQUIREMENTS FOR YOUR CLASS
Long Pants and Shirts with sleeves shall be worn by Male and Female to All classes (Including Indoors)
Long sideburns or beards including Goatees Will Not be permitted for ANY Field Exercise.
Chief/Training Officer Validation
By completing below, I am stating that this firefighter / student is qualified to attend the class or classes as indicated above. I understand that I will receive a confirmation email for this registration.
Chief or Training Officer Name
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First
Last
Chief or Training Officer Phone
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Chief or Training Officer Email
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Payment Options: Once you select Submit your form will be sent to firefield@bcffa.us. You will be directed to make a payment via paypal. If you will be paying by check simply close the paypal tab and send your check payable to: BCFTC, 605 Kelly Blvd., Angleton, TX 77515.
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Paypal
Check - By Mail or at first class date
Credit Card
Total
$0.00