Minnesota State Fire School - Registration Form

April 9-10, 2011
Sponsored by St. Cloud Technical and Community College
Classes held at Central Lakes College, Brainerd, MN
To register online, complete and submit the form below:

Contact information:

Person Attending's Name:
 
Department name:
 
Chief's name:
Address:
 
 
Station phone:
Station fax:
 
Contact person name:
Contact person rank:
 
Day phone:
Night phone:
 
E-mail address:

Send invoice to:

Name:
Address:
 

Select how payment will be received (must select one):

Bill my deparment or agency.
I will bring payment.
I am attending and will pay personally.

Course selection:

Please select a primary choice and a secondary choice for each desired time slot. For a more detailed list of course descriptions, click here (will open in a new window).

 

Saturday AM - 4 Hour Courses
Primary choice:
Secondary choice:
 
Saturday PM - 4 Hour Courses
Primary choice:
Secondary choice:
 
Saturday - 8 Hour Courses
Primary choice:
Secondary choice:
 
Sunday AM - 4 Hour Courses
Primary choice:
Secondary choice:
 
Saturday & Sunday - 12 Hour Courses
Primary choice:
Secondary choice:

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Minnesota State Colleges and Universities