Fire Officer II Registration Form


Fire Officer II Program Hosted by Bath Township Fire Department
Sunday, March 22nd to Friday, March 27th, 2020
Bath Township Fire Department
1787 N Dixie Hwy
Lima, OH 45801


Fire Officer II Course Pricing:
16 Students $520/student
17 Students $490/student
18 Students $465/student
19 Students $445/student
20 Students $420/student
21 Students $405/student
22 Students $390/student
23 Students $375/student
24 Students $360/student

Pricing includes 44-hour class, materials, and student books.

First Name
Last Name
Current Position or Rank
Department
Address
City	State Zip
Department Phone
Department Fax
Email

Home Address
City	State Zip
Personal Phone


Please answer the following:
Is this program needed for promotion?
Are you a career or volunteer firefighter?
Is taking Fire Officer II a department requirement?
Do you have 5 years experience?

CANCELLATION POLICY: Cancellations received prior to seven (7) days before the event will receive a full refund less a $10.00 administrative fee. Cancelled registrations received within one week of the date of the activity and no-shows are non-refundable.

- denotes required fields