Fire Extinguisher Training Request

Anchorage Middletown Fire & EMS
Fire Extinguisher Training
A member of the Anchorage Middletown Fire & EMS Community Risk Reduction Division will teach you, your staff or your group how to use a fire extinguisher. This training can be provided at one of our fire stations or at an event or location within our protection area that you choose.

This training is conducted with an electronic training prop that DOES NOT produce any smoke or heat and can be conducted in doors. The number of people taking the class will determine the amount of time it will take. A good estimate is approximately 30 minutes for every 12 people.
Name of Contact*

PrefixFirst NameLast NameSuffix
Contact Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Email:
example@example.com
Contact Phone Number*

Area CodePhone Number
Please tell us the age groups of the attendees, you may check more than one.*

2 to 55 t0 1011to 1314 to 1818 to 3030 to 50Older than 50
Please provide an approximate number of adults who will attend.*
Day(s) and Time(s)

Even if you only need one day and time frame, please choose at least three options in the order of preference. Options could be the same date with different times but keep in mind some dates may not be available. If applicable, please choose a start and desired end time:
Desired Date Option 1*

MonthDayYear
Date
Desired Start and End Time Option 1

:HourMinutesAM/PM Option
Until
until :HourMinutesAM/PM Option
Desired Date Option 2

MonthDayYear
Date
Desired Start and End Time Option 2

:HourMinutesAM/PM Option
Until
until :HourMinutesAM/PM Option
Desired Date Option 3

MonthDayYear
Date
Desired Start and End Time Option 3

:HourMinutesAM/PM Option
Until
until :HourMinutesAM/PM Option
Please provide any notes, comments or other information you feel may be helpful:
A member of the Anchorage Middletown Fire & EMS Community Risk Reduction Division will contact you to discuss your need and the availability of dates and locations. In most cases this will happen within 3-4 business days at most.

The Anchorage Middletown Fire & EMS Community Risk Reduction Division is open 7am to 5pm, Monday throught Thursday.

If your reqeuest for dates is less than 30 days in advance, we cannot gaurantee that your dates will be available. Emergency Incidents may also hamper access for your event.
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Anchorage Middletown Fire & EMS

Fire Extinguisher Training

Day(s) and Time(s)