Training Registration Form

WILLIAMS WILDLAND FIRE SERVICES, LLC

590 NW LONG ST. LAKE CITY, FL 32055 Ph. (386) 243-2633 info@werwwfs.com
Training Registration Form:

2025 S-130-S-190 Virtual Training, RT-130 Annual Recertification Refresher/Pack Test
Full Name*

First NameMiddle NameLast Name
Current Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*

Area CodePhone Number
E-mail Address*
Birth Date

MonthDayYear
Current Engine Qualifications: Please check all that apply , As specified in PMS 310-4 NWCG guidelines

Fuels Crew Member Only (RX Fire)Firefighter II- FFT2 (Crew member, Engine or Crew)Firefighter I - FFT1 (Squad Leader / Advanced Firefighter)ENGB (Engine Boss)N/AOther
Have You Worked for WWFS Before?

YesNo
Have You Applied to WWFS Before?

YesNo
Red Card: Please upload current Red Card if you have one

Browse Files

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Course/s Attending:

Please select location and course you are attending:
Wed-Fri March 12-14, 2025 8:00 am Online/Virtual

A. S-130/S-190/L-180: Basic Wildland Firefighter
Sat. March 15th, 2025 8:00 am- Pack Test 11:00 am- RT-130 Annual Refresher In-Person (Please Check All That Apply)

A. Moderate/Arduous Work Capacity (Pack) TestB. RT-130 Annual Refresher
Thank you and we look forward to seeing you there, if you have questions, please call (386) 243-2633 or email: info@werwwfs.com
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WILLIAMS WILDLAND FIRE SERVICES, LLC