Class Registration Form

ARFF CLASS SELECTION

 		 

All Fields are Required

 		     
   
First Name  
   
Last Name  
   
Organization  
   
Work Address  
   
City  
   
State / Province  
   
ZIP / Post Code  
   
Country  
   
Work Phone  
   
Work E-mail  
   
Confirm work E-mail  
   
Personal Phone  
   
Emergency Contact Name  
   
Emergency Contact Phone  
   
Dept. Head/Chief Name  
   
Dept. Head/Chief Phone  
   
Dept. Head/Chief Email  
   
Allergies  
   
Fire Fighting Experience
  
   
Airport Experience
  
   
 
Receive additional training class updates and schedules via email.
  
   
   
 

ARFF IFSAC CERTIFICATION
   
 
  

ARFF IFSAC certification is available ONLY for ARFF 100 Basic courses. Firefighter I and II IFSAC certification is required prior to attendance and copies of certificates must be provided on arrival. Written and practical exams will be administered the Friday of the scheduled ARFF 100 Course. Cost of IFSAC certification is $100 payable to the training center (added to course fee on checkout) and $50 payable to the Kentucky State Fire Commission for IFSAC administrative fees. Please check the box below to add IFSAC written and practical examinations to your ARFF 100 registration.


Check and initial if you would like to add-on IFSAC certification.              $100 Additional Fee
   
 

SELECT AND COMPLETE ONE PAYMENT TYPE
 

Pay by Credit Card
Cardholder Name  
   
Card Number  
   
Expiration Date   Use MM-YYYY date format.
   
CVV  
   
Billing Address Line 1  
   
Billing Address Line 2  
   
City  
   
State  
   
ZIP  
 

Pay by Check
    If selecting this option, an invoice will be generated in your registration confirmation. Payment is required on or before the first day of class.  
 

SPD CODE
    If you were issued an SPD Code, enter it here.
 

REQUIRED EQUIPMENT
   

All participants are required for providing the following equipment. For those traveling by air, where equipment transport may be difficult, contact the training center staff to inquire if alternate arrangements are available.


Required Equipment:
•Bunker coat/pants
•Fire gloves
•Fire boots (leather or rubber)
•Fire helmet
•Nomex hood
•SCBA with one bottle (two preferred)
  
   
     

Enter case-sensitive security characters:



4000 Terminal Drive, Suite 206 • Lexington, KY 40510-9607