Community Fire Extinguisher Program Sign-Up

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Registration Form for Holiday Park VFD's Community Fire Extinguisher Program Class to be held on Wednesday, September 30, 2020 from 7:00pm to 10:00pm.

Class Details:
- Free to register, priority seating for residents and employees of businesses in Plum Borough.
- This is recommended for adults, 18 years of age and older.
- Class is limited to 20 students.
- COVID-19 safety protocols will be enforced and reviewed at beginning of the class.

Instructors:
- Allegheny County Fire Academy Staff

Deadline to apply: September 23, 2020

*Attendees will receive a formal confirmation email from the fire department with class details.

First Name *

Last Name *

Email Address *

Phone Number *

Are you over 18 year of age? *

Yes

Required

Are you a resident of or work for a business within Plum Borough? *

Yes

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms