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You are now registering as a new student with Florida Fire Programs. This registration will then allow you to log in as a student and Apply for classes. Please understand that this registration does not add you to a class, but merely grants you access to apply for them. Once complete you will be directed back to the class you were viewing for registration.

First Name:		Middle:		Last Name:
Address:		Suite/Apt #:
City:		State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming	Zip:
Primary Phone:	Ext:	Secondary Phone:	Ext:
Gender:	Male Female
D.O.B.:	(mm/dd/yyyy)
Member IAFF Local #:
Out of State Student:	Yes No	Florida Resident?:	Yes No
Completed High School?:	Yes No	US Citizen?:	Yes No
First Time Student?:	Yes No	Limited English?:	Yes No
US Military Vet?:	Yes No
Group ID:	(Leave blank if no group affiliation)
	I am an administrator for this group
User Name:		A valid email address is recommended as your user name.
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