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2. Application

   This intense, interactive learning experience is designed to familiarize citizens with our services and how they are delivered. Teens as young as 16 may take part with a participating parent or guardian. This class is 8 consecutive weeks that will meet every Thursday starting Sept. 8, 2022, and ending Oct. 27, 2022. Classes will run from 6 until 9 p.m., and are held in various locations depending on the topic. If this class session is full or no classes are currently scheduled, your application will be held on file and you will be notified when the next class forms.

4. For more information, email Lieutenant P. Layden at playden@hampton.gov.

6. Date*
   Date
8. First Name*
9. Last Name*
11. Address1*
13. City*
14. State*
15. Zip*
17. Home Phone Number*
18. Work / Cell Phone Number
20. Email Address*
22. Are you under age 18?*

    1. yes
    2. no
23. If you're under 18, what school do you attend?
25. If you're under 18, what's the name of the parent or guardian who will be attending the academy?
27. How did you hear about the Citizen Fire Academy?
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field