Emerald Society Membership Application

Emerald Society Firefighters of Washington Application

Membership is available to all members of the DCFD & surrounding jurisdictions. Our 3-year membership fee is $50 + a $2.50 online application fee (you must submit payment upon completion of application). To sign up and JOIN THE FUN, fill out the application below.
Personal Information
Full Name*

First NameLast NameSuffix
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*

Area CodePhone Number
E-mail*

Confirmation Email
Fire Department Affiliation
Department*

DCFDMontgomery County Fire RescuePG County Fire DeptArlington County Fire DeptAlexandria Fire DeptMWAA Fire DeptFairfax County Fire RescueLoudoun County Fire RescuePrince William County Fire RescueFrederick County Fire RescueOther
Appointment Date*

MonthDayYear
Date
Retirement Date

MonthDayYear
Date
Rank*
Assignment*
Company/Station
Shift*
Platoon 1,2,3,4 / A,B,C,D
By clicking "apply and submit", I verify that all information above is true. Once clicked you will be automatically re-routed to PayPal and must submit secure payment of $52.50 in able to be granted membership.
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Emerald Society Firefighters of Washington Application