ALLEGANY COUNTY CFR ORIGINAL & REFRESHER COURSE
2026
Thank you for your interest in the Allegany County CFR Course. Please complete this form to request registration information. Limited seats available. Course Start Date: September 21, 2026 Class: Monday and Wednesday, 6:00PM – 10:00 PM. You will be contacted after submission with next steps.
Name
*
First Name
Last Name
DOB
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Will you be at least 17 years old by August 20, 2026?
Yes
No
Do you have a valid driver's license?
Yes
No
Permit
Are you currently affiliated with a Fire Dept / EMS Agency?
Yes
No
If yes, agency name
Have you completed FEMA IS-100?
Yes
No
In Progess
Have you completed FEMA IS-700?
Yes
No
In Progress
HazMat Awareness Course Status
Completed
In Progress
No Yet Started
Physical / Immunizations available?
Yes
No
In Progress
How did you hear about this course?
Facebook
School
Fire Department
Friend
Other
Preferred Contact Method
Phone
Email
Submit
Should be Empty: