You are signing up to register for the Non-Fire Response to Emergency Scenes (NOFRES) course through Chautauqua County Emergency Services. Please complete all of the following information.

YOU MUST BRING A SIGNED CHIEF'S AUTHORIZATION LETTER TO THE FIRST CLASS.

Question Title

1. What is YOUR name? (Required.)

Question Title

2. The applicant understands that a "Chief's Authorization Letter" must be presented at the first class? (Required.)

Question Title

3. Applicant's Last Name: (Required.)

Question Title

4. Applicant's First Name: (Required.)

Question Title

5. Best Phone Number to reach Applicant: (Required.)

Question Title

6. Applicant's Email address:

Question Title

8. Is the applicant a Junior member, Venturer or Explorer of the Department: (Required.)

Question Title

9. Applicant's Chief's Name: (Required.)

T