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San Marcos Fire Department Middle School Junior Fire Academy Application

  1. SMFD Junior Fire Academy Logo

  2. San Marcos Fire Department Middle School Junior Fire Academy Application

    Session 2: Elementary School (Grades 6,7,8) June 22-26 Elementary School Junior Fire Academy

  3. 1 Application Per Child

  4. Has the child attended previous camps?*

  5. Does the child's parent/s work for the City of San Marcos?*

  6. Does the child's parent work for the San Marcos Fire Department?*

  7. Please list any health conditions that will require special accommodations. If none, please write None.

  8. Please list any medicines that your child regularly takes that will require special accommodations or administering while at JFA. If none, please write None.

  9. Please list any food allergies that will require special accommodations. If none, please write None.

  10. *Primary Form Of Communication

  11. Primary Contact Direct Number

  12. Are you interested in volunteering at JFA?*

    If yes, we'll need your birthday to run the background check.

  13. First and Last Name

  14. First and Last Name

  15. First and Last Name

  16. MINIMUM AGE AGREEMENT

    I, the undersigned, certify that my child is at least ELEVEN (11) years old and has completed sixth grade. I understand that falsification of any information on this form may disqualify my child from the program.

  17. JFA PICK UP & DROP OFF AGREEMENT

    Camp times are from 8am-2pm each day. DROP OFF: Parents can drop their children off between 7:30am-8am. PICK UP: Children will need to be picked up at 2pm each day. Staff will stay until 2:30pm.

  18. LIABILITY RELEASE

    In consideration for the acceptance of my child’s registration in the Junior Fire Program, I hereby release THE CITY of SAN MARCOS, the SAN MARCOS FIRE DEPARTMENT, their agents, employees, firefighters, and servants from ANY and ALL damages and injuries, which may occur while my child is in the Junior Fire Academy Program, including transportation. I certify that I have the legal authority to execute this release on behalf of my child.

  19. PERMISSION TO ATTEND:

    By signing this document I acknowledge that I have given my authorization for my child to attend the Junior Fire Academy Program and travel when needed.

  20. Permission to Photograph*

  21. PERMISSION TO PHOTOGRAPH:

    As part of the Junior Fire Academy, a group photo of the children will be taken and placed in local newspapers. There may also be media coverage of the academy as well as video to be used by the Fire Department. I authorize the photography of my child for this purpose.

  22. By typing my name, I am electronically signing this application. I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.

  23. Leave This Blank:

  24. This field is not part of the form submission.