Junior FF Application

Indicates Required Field

Name

Address

City/Town

State

Zip Code

Contact Phone # Required

Date of birth Required

What grade school are you currently in Required

Email (if applicable)

Signature Confirmation

Signature of Applicant & Parent / Guardian *Completed & Required in Person @ GFD upon acceptance of Application*

An applicant & parent/guardian signature will be required in person upon acceptance of the application and before an interview is conducted with the GFD Board of Officers. This will be to declare that the information provided is true to the best of the applicants knowledge and that if accepted for membership they will abide by the rules and regulations set forth in the By-Laws of the Gettysburg Junior FD & those of the Gettysburg FD.

For Gettysburg Fire Department Use Only

Application accepted by

Date approved by Board of Officers