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User account

This registration form is for current fire department members only. If you are interested in joining the fire department please visit the "Join Us" link above for more information.

Account information

Username: *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Personal Information

First Name: *

Enter your first name.

Last Name: *

Enter your last name.

Address: *

Your Home address. Will be used to verify membership. The content of this field is kept private and will not be shown publicly.

City: *

State: *

Cell Number: *

This number may be used to activate text messaging features in the future. If you do not have a cell number, then use your home phone number here. 10 Digits required, do not use any formatting ex. 8456284414

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