2024 New Volunteer Registration 1Class Selection2Personal Info3Emergency Contact4Demographic Info5Payment & Confirmation We're pleased to invite you to become a Volunteer Fire Lookout with ANFFLA for the 2024 season! There are two options for training this year, you must select ONLY ONE when completing your registration below as there is limited space at each one. You will only be allowed to attend the class that you select when registering, so please choose carefully.Training Class SelectionTraining Class(Required)- choose your training class option -Saturday, March 16, 9am-4pm (1 seat available)Monday, March 11 & Wednesday March 13, 6pm-9pm (0 seats available)Please select one of the two class options above. Option 1: One Saturday Class, March 16, 9am - 4pm Option 2: Two Weeknight Classes, Monday, March 11 and Wednesday, March 13, 6pm - 9pm both evenings (you must attend BOTH classes) Class sizes are limited by available space. You may only attend the class that you register for here.Lookout Location(Required)- select a tower -Slide MountainVetter MountainWhich lookout location do you think you would you like to work? (For your first year you will be limited to one tower, but in the future you can be trained to work both.) This is not a final selection, you will make your final selection during training. Personal InformationName(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone (Mobile)(Required)Phone (Home / Work / Alternate)Email(Required) Enter Email Confirm Email May we include your contact information in the directory?(Required)----YesNoThe directory information will only be distributed to active duty ANFFLA members. Only your Name, Phone, and Email will be included.Birthday (Month & Day only) Enter your birthday in the format MM/DD. Please do not include the year of your birthdate.Skills / Hobbies / Things you like to do Trail work Working with your hands Writing / Editing Web design / dev Marketing / Social Media Photography Radio Communications Legal work Other (use space below) Optional (but helpful!) information - Let us know what types of activities you do/enjoy/are interested in. Use the space provided below to explain more or add additional interests not listed here.Additional Information Emergency Contact Information**IMPORTANT** Do NOT enter someone who will/may be working in the Lookout with you!Emergency Contact Name(Required) First Last Emergency Contact Relationship(Required) Enter your emergency contact's relationship to you. (For example: Spouse, Parent, Child, Sibling, Roommate, etc.)Emergency Contact Phone(Required)Mobile phone preferredEmergency Contact Alternate Phone Demographic InfoThis information is specifically requested by the US Forest Service from all volunteers. It will only be used for Forest Service requested demographic reports in aggregate and will not be reported in conjunction with your personal information.Age Range(Required)Select your age rangeUnder 15 *must work with a parent or guardian15-18 *must work with a parent or guardian if under 1819-2425-3536-5455+Sex----FemaleMaleEthnicity & Race Asian/Pacific Islander Black / African American (Non-Hispanic) Hispanic or Latino Native American/Alaska Native White (Non-Hispanic) Other You may select all that apply.Are you disabled?----YesNoAre you a veteran of the United States Military?----YesNo Payment and ConfirmationTraining Materials & Uniform Deposit(Required) Price: This covers the cost of training manuals and other training materials and forms. This also includes a $40 deposit for your uniform. This will cover most of the cost of your required uniform shirt and name badge (excluding shipping). *** THIS IS A NON-REFUNDABLE DEPOSIT.*** Any deposits not used towards uniforms will be added to ANFFLA's general funds.HiddenBilling Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Payments are processed using PayPal to ensure the security of the transaction. If you have a PayPal account, you can pay with your bank account or a credit / debit card. If you do not have a PayPal account simply select "Pay with Debit or Credit Card" in the PayPal pop-up window. You do not have to create a PayPal account in order to pay. Click on the PayPal button below to process your payment.Payment Method(Required)PayPal Checkout American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name