Burn Training Facility Reservation
Requested Date
-
Month
-
Day
Year
Date
Select your preferred times
Hour Minutes
Until
until
Hour Minutes
Contact Person
Person requesting for reservation
Name
First Name
Last Name
Phone Number
Email
example@example.com
Billing Information
Organization Name
PO#
Billing Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / 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
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next
( X )
Facility
Burn Building - No Live Fire
$
50.00
Hours
1
2
3
4
5
6
7
8
9
10
Burn Building - With Live Fire
$
60.00
Hours
1
2
3
4
5
6
7
8
9
10
Vehicle Fires (Up to 2 cars)
$
50.00
Hours
1
2
3
4
5
6
7
8
9
10
Vehicle Extrication (Up to 2 cars)
$
50.00
Hours
1
2
3
4
5
6
7
8
9
10
Personnel Requested
NFD Safety Officer
Required for all uses of the building
$
50.00
Hours
1
2
3
4
5
6
7
8
9
10
NFD Ignition Officer
Required for all live fire uses of facility
$
50.00
Hours
1
2
3
4
5
6
7
8
9
10
Lead Instructor (LFI)
$
50.00
Hours
1
2
3
4
5
6
7
8
9
10
Instructor in Charge (LFI)
$
35.00
Hours
1
2
3
4
5
6
7
8
9
10
Assistant Instructor (LFI)
Backup line or functional crew (5:1 ratio)
$
35.00
Hours
1
2
3
4
5
6
7
8
9
10
EMT with BLS Equipment
$
35.00
Hours
1
2
3
4
5
6
7
8
9
10
Ignition Observer (LFI)
$
35.00
Hours
1
2
3
4
5
6
7
8
9
10
Equipment
Fire Engine
$
125.00
Hours
1
2
3
4
5
6
7
8
9
10
Ladder Truck
$
150.00
Hours
1
2
3
4
5
6
7
8
9
10
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 )
*
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
-
Month
-
Day
Year
Date
Submit
Submit
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