Minnesota State Fire School - Registration Form

Minnesota State Fire School
March 27 & 28, 2010
Sponsored by St. Cloud Technical and Community College
Classes held at Central Lakes College, Brainerd, MN

For more information on the complete schedule, registration information and lodging, click here.

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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