Transcript Slide 1

Ever wonder what it would be like to be a Firefighter?
HERE IS YOUR CHANCE!
WISSAHICKON FIRE COMPANY’S 2011
Tuesday Nights in July!
July 5, 13, 20 & 27 – 7:00 pm-9:30 pm
TEENS & ADULTS!
Ages 14 & above!
Boys & Girls!
Join us for a fun 4-night program where you’ll
experience what it’s like to be a Firefighter with Reallife, Hands-on Experiences!
• Fire Behavior
• Protective Clothing
• Breathing
Apparatus
• Extinguishers
• EMS
• Engine Company
Operations
• Ladder Company
Operations
• Rescue Operations
• Firefighter Tools
Learn from Experienced Firefighters!
What’s Included in Firefighter Camp?
 4 Nights of Real-Life, Hands-On Firefighter Experiences
 Using Extinguishers; Establishing Water Supplies; Attacking Fires;
Throwing Ladders; Conducting Search & Rescue; Operating Thermal
Imaging Cameras; Using Self-Contained Breathing Apparatus
 Instruction by Certified Instructors & Firefighters
 FF Camp T-Shirt, Snacks & Beverages
On the Last Night, Participants will:
• Demonstrate the skills they’ve learned in their
own Fire Suppression Demonstration
• Meet local Fire Chiefs
• Have a Barbecue with their family & friends
FIREFIGHTER CAMP REGISTRATION FORM
To reserve your space, send the following to:
Camper Information:
Wissahickon Fire Company, Attn: FF Camp
245 E Race Street, Ambler, PA 19002
Name ________________________________
Completed Registration Form
T-Shirt Size: (Adult) S M L XL 2XL
$20 Check payable to: “Wissahickon Fire Company”
Date of Birth _______________ Age: _______
Home Phone: __________________________
All campers will be under the direct supervision of
experienced certified Firefighters and Instructors.
Mailing Address
RELEASE/WAIVER OF LIABILITY/INFORMED
CONSENT – RELEASE: I give my permission for the
child named above to attend the Wissahickon
Firefighter Camp. I understand the program will
involve a variety of physical activities and I verify
that my child is in proper physical and emotional
condition to participate in these and other activities
conducted during camp. I assume all risks and
hazards incidental to the conduct of this program
and waive, release, absolve, indemnify, and hold
harmless the Wissahickon Fire Company and its
members, except in cases where negligence is
proven.
AUTHORIZATION FOR TREATMENT – In the event I
cannot be reached in an emergency, I hereby give
permission to the Wissahickon Fire Company to
secure and administer treatment, including
hospitalization, for my child as named above.
PHOTO – I give permission for my/my child’s photo
to be used in promotional materials.
_____________________________________
Parent/Guardian Signature (If
Camper is under 18)
E-Mail address_________________________
Grade in September 2011 _______________
Name of School _______________________
How did you hear about the Firefighter Camp?
_____________________________________
_____________________________________
Note special health concerns or dietary restrictions:
_____________________________________
_____________________________________
Parent/Guardian 1:
Name _______________________________
Home Phone: _________________________
Day Phone: ___________________________
Parent/Guardian 2:
X
Camper Signature
X
_____________________________________
Date
Name ________________________________
Home Phone: _________________________
Date
Day Phone: ___________________________