• Image field 127
  • Image field 128

  • EDINBURG CITIZEN FIRE ACADEMY

    APPLICATION FORM

  • PLEASE PRINT: Completed application must be received by August 31, 2026

  • PARTICIPANTS INFORMATION

  • Select Class Dates:*

  • Please Note: This is a 2-week course running Monday through Thursday evenings from 6:00 PM to 8:00 PM. Graduation will take place on Thursday, September 24, 2026.

  • Format: (000) 000-0000.
  • Gender*
  • Format: (000) 000-0000.
  • T-Shirt Size:*

  • Please contact our office if ADA Accomodation is needed.

  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year

  • APPROVAL & AGREEMENTS

  • PLEASE READ CAREFULLY

  • 1. PARTICIPATION AUTHORIZATION: I understand that I may be transported to other sites foradditional activities during the course of my participation in the program and I agree to holdharmless the City of Edinburg, its employees and volunteers for injuries or damages resultingfrom my participation

  • 2. EMERGENCY TREATMENT: Employees of the City of Edinburg participating in the CitizensFire Academy have my permission in the event of an emergency, at my expense to (1) contactmy family physician, or (2) utilize the most convenient rescue squad, vehicle, or ambulance totransport me to the nearest hospital.

  • 3. PHOTOGRAPHS: By signing this form, I give permission to be photographed and/orvideotaped by the City of Edinburg and public media, unless a separate request not tophotograph is submitted. I understand that the photograph/video will be used to promotethe Citizen Fire Academy and I give permission for that use.

  • 4. RULES OF CONDUCT: I understand my child must comply with the rules defined by staff and maintain self-control and act responsibly while participating in the program.

  • 5. LIABILITY WAIVER: In consideration of the City of Edinburg Fire Department, granting mypermission to attend the Citizen Fire Academy, I hereby waive any and all risks and liability fordamages, losses, personal injuries, or death which I might suffer, sustain or cause whileparticipating in the Citizen Fire Academy. I further waive any and all claims, demands, actions,damages or suits at law or equity of whatever nature which I have or may hereafter acquireagainst the City of Edinburg Fire Department, officers, firefighters, agents, or employees as aresult of my voluntary participation in the Citizen Fire Academy and I hereby hold harmlesssuch persons and entities. In the event that a demand or claim, whether groundless orotherwise, is made against the entities and or persons set forth herein, I agree to indemnifythose persons and/or entities for all damages, attorney fees, and costs incurred in defendingsaid demand or claim. I hereby acknowledge that I fully understand the consequences of thiswaiver and that it is a voluntary and intelligent act on my part. I also understand that as partof the application process, my criminal history and DMV record will be checked by theEdinburg Police Department

  • 6. APPROVAL: I have read and understand the participation approvals and agreements and by my signature agree to its terms.

  • Date:*
     - -
    2 digit month, 2 digit day, 4 digit year

  • PARTICIPANT RULES

  • PLEASE READ CAREFULLY

  • 1. Each participant must complete an application

  • 2. Except for sickness, emergencies and pre-approved absences, participants should notbe absent from any of the training sessions. Absences from more than two sessionsmay prevent a participant from graduating.

  • 3. Participants are expected to dress in appropriate attire. No shorts or tank tops arepermitted. Jeans are permitted as long as they are clean, have no holes, cuts, etc. Onlythe fire department academy shirt is permitted. The instructors reserve the right torequest the participant to leave the classroom.

  • 4. Participants shall not be armed at any time during the academy. This includes pepperspray, handguns, knives, pocket knives, any item which can be constructed as aweapon. Any violation of this rule could result in immediate dismissal from theacademy.

  • 5. Participants shall be polite and respectful of all instructors, firefighters, other adults and students during class.

  • 6. It is important that class start on time and there are as few disruptions as possible. Participants are expected to arrive on time.

  • 7. Gang symbols, paraphernalia (such as bandanas, beads, etc.) will not be tolerated. Displaying gang signs ok symbols will result in the student being asked to immediately leave the program.

  • I certify that I understand the requirements of participating in this program.

  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  •  
  • Should be Empty: