Burn Training Facility Reservation

Burn Training Facility Reservation
Requested Date

MonthDayYear
Date
Select your preferred times

Hour Minutes

Until
until
Hour Minutes
Contact Person

Person requesting for reservation
Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Billing Information
Organization Name
PO#
Billing Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Minimum Required for Live Fire Training

1 Lead instructor (LFI) | 1 Live fire instructor for the instructor in charge | 1 Live fire instructor for each functional crew maximum of 5 students per functional crew. (Examples fire attack, backup, search, extension, ect.) | 1 Safety officer from Napoleon Fire and Rescue. (Required NFD Safety Officer for all uses of the building must select below) | 1 Live fire instructor for Ignition officer (Required NFD instructor for all live fire uses of the building must select below) | 1 EMT Basic With BLS Equipment | 1 Ignition observer (LFI) | 1 Fire Engine
Requested Facility Use and Personnel*
Categories:All

All

Facility

Personnel Requested

Equipment
prevnext( X )
Facility

Burn Building - No Live Fire
$50.00 Hours



Burn Building - With Live Fire
$60.00 Hours



Vehicle Fires (Up to 2 cars)
$50.00 Hours



Vehicle Extrication (Up to 2 cars)
$50.00 Hours



Personnel Requested

NFD Safety Officer
Required for all uses of the building

$50.00 Hours



NFD Ignition Officer
Required for all live fire uses of facility

$50.00 Hours



Lead Instructor (LFI)
$50.00 Hours



Instructor in Charge (LFI)
$35.00 Hours



Assistant Instructor (LFI)
Backup line or functional crew (5:1 ratio)

$35.00 Hours



EMT with BLS Equipment
$35.00 Hours



Ignition Observer (LFI)
$35.00 Hours



Equipment

Fire Engine
$125.00 Hours



Ladder Truck
$150.00 Hours



Total

$0.00
Expected Number of Participants
Tell us what you have planned for the training and any other relevant information
Contact Persons from the Organization
Signature (Person requesting for reservation )*

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I understand that if I did not request a required position for a live burn that the organization renting the facility is providing a qualified person to perform that role. If the required positions are not filled then this will result in the class being cancelled.
Date Signed

MonthDayYear
Date
Should be Empty:

Burn Training Facility Reservation

Contact Person

Billing Information

Minimum Required for Live Fire Training