2026 JFD Citizens Fire Academy

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Phone Number

Please enter a valid phone number.

Date of Birth ***(You must be 18 or older to apply)***

Date

EMERGENCY CONTACT

Emergency Contact Phone Number

Do you have any firefighting or EMS experience?

How did you hear about the JFD Citizens Fire Academy?

What is your purpose for attending?

T-Shirt Size

I do hereby acknowledge and understand that in my participation in the Jonesboro Fire Department Citizen’s Fire Academy, I may be using a Self Contained Breathing Apparatus (SCBA), firefighter bunker gear and firefighting tools and equipment. I also acknowledge that with my participation, I may be lifting or moving objects up to and possibly exceeding 100lbs; climbing ladders, as well as being exposed to heights, live fire, and elevated temperatures. I understand that all activities in the Citizen’s Fire Academy are voluntary, and that I may choose not to participate in any activity I feel uncomfortable with. I also hereby acknowledge that a doctor’s physical is not required; however, if I possess any injury or ailments such as asthma or similar conditions, previous back, neck or joint injuries, I will consult my personal physician before my enrolment in the Jonesboro Fire Department Citizens Fire Academy.

In consideration of the benefits that I will receive from my participation in the Jonesboro Fire Department Citizen’s Fire Academy, sponsored by the City of Jonesboro Fire Department, I do hereby release the City of Jonesboro, its firefighters, fire officers, public officials, agents, servants, employees and volunteers from any and all liability, claims, demands, action and cause of action which I may hereafter have on account of any and all injuries and damage to me and my property, or my death, arising out of related to any happening or occurrence while I am participating in the Citizen’s Fire Academy. For the same consideration, I agree to forever hold the City of Jonesboro and said persons harmless from any liability, claim, demands, actions or cause of action. In signing this statement, I acknowledge that I have reviewed the overview of activities included in The Jonesboro Fire Departments Citizen’s Fire Academy application and recognize the risks those activities entail.

Do you agree to the statement above? You will need to sign a wavier on the first day of class.

Date