Woden Fire Department

Please fill out the application below to the best of your ability.  Once you have entered all of the information and agree to the terms, click the submit button.  Please enter a contact number so someone from the fire department can get into contact with you.

General
Name: Address: City, zip: Phone: email: Date of birth: What school do you currently attend? 8'th grade 9'th grade 10'th grade 11'th grade 12'th grade N/A Are you related to a member of the Woden Fire Department? If so, who? Who, if anyone, recommended you to the Woden Junior Firefighters?
Parents / Guardian
Name(s): PHONE NUMBERS Home: Cell: Work: EMERGENCY CONTACT (if different) Name: Phone: Relation: MEDICAL INFORMATION Doctor's Name: Phone: Please list any medical conditions that you may have. What medications are you currently taking? Please list ALL allergies that you may have?
By clicking the submit button, I do hereby promise that the above information is true to the best of my knowledge.  I further promise to adhere to and abide by the bylaws and rules of the Woden Fire Department and those of the Woden Junior Firefighter Program.  I understand that it is the right of the Woden Fire Department to terminate my membership if I fail to adhere to these rules. Note:  Parental permission required for membership into the Woden Junior Firefighter Program.  Forms will be provided to you at your first meeting.