Text Box: GUILFORD FIRE DEPARTMENT   IS  SPONSORING   RAPID INTERVENTION & FIREFIGHTER SAFETY     LEAD INSTRUCTOR: CAPTAIN ROBERT MORRIS   RESCUE CO. 1  FDNY                                                                                          November 14th & 15th, 2009          §       Location: Guilford Fire Headquarters                       390 Church Street                      Guilford, CT 06437  §       Phone: 203-453-8056  FAX: 203-453-8005 §       08:30 to 17:00 hours (time for both days)                                  §       Refreshments and lunch will be provided both days §       Fee for course:  $ 200.00                                 Application for Guilford Fire Department                                                                   RAPID INTERVENTION                                                                           &                                                                 FIREFIGHTER SAFETY                                                                         NOVEMBER   14 & 15   2009      Name_____________________________                 Date of Birth:____________________   Department:_______________________________________________________________   Address:__________________________________________________________________    __________________________________________________________________   E- Mail address__________________________   Home Phone:_______________________                  Daytime Phone:__________________   Firefighter I Certification      _________                  __________                                                  Yes                            No Basic Rapid Intervention Certification                                                   _________                 ____________                                                     Yes                                No                           The cost of the course is $200.00 the cost includes lunch and refreshment for both days.   Send your completed application forms and your check or purchase order made payable to Guilford Fire Department 390 Church Street, Guilford, CT 06437.  Application forms may be faxed with purchase order to (203) 453-8005.  Application forms may also be e-mailed to gfd10@snet.net with purchase order attached.   Full Turnout gear and SCBA with spare cylinder are required.  Air refill will be provided at the training sites.   Space is limited to thirty five students.  Therefore registration must be accompanied by a check or purchase order.      Students will be notified if not accepted.   Application for Guilford Fire Department                                                                   RAPID INTERVENTION                                                                           &                                                                 FIREFIGHTER SAFETY                                                                         NOVEMBER   14 & 15   2009      Name_____________________________                 Date of Birth:____________________   Department:_______________________________________________________________   Address:__________________________________________________________________    __________________________________________________________________   E- Mail address______________   Home Phone:_______________________                  Daytime Phone:__________________   Firefighter I Certification      _________              __________                                                  Yes                            No Basic Rapid Intervention Certification          _________                 ____________               Yes                                No                           The cost of the course is $200.00 the cost includes lunch and refreshment for both days.   Send your completed application forms and your check or purchase order made payable to Guilford Fire Department 390 Church Street, Guilford, CT 06437.  Application forms may be faxed with purchase order to (203) 453-8005.  Application forms may also be e-mailed to gfd10@snet.net with purchase order attached.   Full Turnout gear and SCBA with spare cylinder are required.  Air refill will be provided at the training sites.   Space is limited to thirty five students.  Therefore registration must be accompanied by a check or purchase order.      Students will be notified if not accepted.