2025 Fire Academy Cardholder Name * Cardholder Name First Name First Name Last Name Last Name Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Cardholder Email * Department/Organization * Cardholder Day Phone * Cardholder Cell * Registrant 1 Full Name * Registrant 1 First Choice * Firefighter 1 EssentialsLaddersForcible EntrySearch and RescueFire Hose, Hose Operations, and Hose StreamsTruck Company Operations MasterclassMastering Fireground CommandRIT w/Firefighter Survival & Mayday DrillsLive FireExtrication Awareness and OperationsIdaho Firefighter Tactics Registrant 1 Second Choice * Firefighter 1 EssentialsLadders Second Registrant? * Yes No Registrant 2 Full Name Registrant 2 First Choice Firefighter 1 EssentialsLaddersForcible EntrySearch and RescueFire Hose, Hose Operations, and Hose StreamsTruck Company Operations MasterclassMastering Fireground CommandRIT w/Firefighter Survival & Mayday DrillsLive FireExtrication Awareness and OperationsIdaho Firefighter Tactics Registrant 2 Second Choice Firefighter 1 EssentialsLadders Third Registrant? Yes No Registrant 3 Full Name Registrant 3 First Choice Firefighter 1 EssentialsLaddersForcible EntrySearch and RescueFire Hose, Hose Operations, and Hose StreamsTruck Company Operations MasterclassMastering Fireground CommandRIT w/Firefighter Survival & Mayday DrillsLive FireExtrication Awareness and OperationsIdaho Firefighter Tactics Registrant 3 Second Choice Firefighter 1 EssentialsLadders Fourth Registrant? Yes No Registrant 4 Full Name Registrant 4 First Choice Firefighter 1 EssentialsLaddersForcible EntrySearch and RescueFire Hose, Hose Operations, and Hose StreamsTruck Company Operations MasterclassMastering Fireground CommandRIT w/Firefighter Survival & Mayday DrillsLive FireExtrication Awareness and OperationsIdaho Firefighter Tactics Registrant 4 Second Choice Firefighter 1 EssentialsLadders Fifth Registrant? Yes No Registrant 5 Full Name Registrant 5 First Choice Firefighter 1 EssentialsLaddersForcible EntrySearch and RescueFire Hose, Hose Operations, and Hose StreamsTruck Company Operations MasterclassMastering Fireground CommandRIT w/Firefighter Survival & Mayday DrillsLive FireExtrication Awareness and OperationsIdaho Firefighter Tactics Registrant 5 Second Choice Firefighter 1 EssentialsLadders I would be interested in the possibility of doing IFSAC skills testing for any level of certification during the Fire Academy. * Yes No Total Payment If you need to register more than 5 department members, after completing the first registration screen please CLOSE your browser before coming back to fdmadison.org for more registrations. If you don't close it may result in duplicate charges to your credit card. Thank you. Please only click the Submit button once. Double clicking it may also result in duplicate charges to your credit card. Captcha Submit If you are human, leave this field blank.
