DREXEL HEIGHTS FIRE DISTRICT
5950 S. Cardinal Ave, Tucson, AZ 85746 www.drexelfire.org
Class costs are $25 per person for Drexel Heights FD residents (proof required) and $35 per person for out-of-District participants.
***Program held at DHFD Prince Administration ***
How did you hear about this class?:
FACE MASKS REQUIRED
Includes training on CPR, First Aid, Fire Safety, Child Care and more (12 hours). Must be between 12-16 years of age. There will be a half hour lunch break both days so participants should bring their own sack lunch and refreshments.
Which sessions do you plan on attending ?
All classes are from 9:00 am-4:00 pm and conducted at 5950 S. Cardinal, Tucson AZ 85746. Bring Lunch & Drink
DHFD Hold Harmless Agreement
DHFD Hold Harmless Agreement
As consideration for the opportunity to participate in the Academy, the Participant agrees to
protect, hold harmless and indemnify the Drexel Heights Fire District, Pima Council on Aging,
and Pima County, officers, agents, their employees and their volunteers, against all liabilities,
claims, suits or demands for Injuries to person and/or property arising out of his/her participation
in all of the events and activities of the Academy. Participant assumes all risks of injury.
I understand and agree with the Hold Harmless Agreement.
DHFD Cancellation & Refund Policy
Classes must be pre-paid at time of registration. PAYMENT IS NON- REFUNDABLE. 24-hour advance notice of any cancellation is required. Failure to do so, means you will not be allowed to enroll in future classes. If you cancel, you may reschedule ONE time. A second cancellation voids your agreement. Classes start at specified times, persons arriving late risk not being admitted to class.
DHFD Image Release Form
Drexel Heights Fire District provides education and information to the community concerning fire
and life safety issues. In providing these services, it is often beneficial to utilize actual
photographs, video tapes, or work pertaining to emergency incidents, services, or programs.
Completion of this form will allow Drexel Heights Fire District to utilize photographs, videos, and
original work in either print materials, public service announcements, public presentations, public
displays, or on the department’s website.
I hereby grant permission to be photographed and/or videotaped while participating in Drexel
Heights Fire District activities and/or to have any such work incorporating my image or original
work I produce in conjunction with the activity published in association with Drexel Heights Fire
District’s promotional and/or educational activities. I waive any right to compensation for such
photographs, videotapes, images, and/or original work for the use or publication thereof.
EXHIBIT C – Income Self-Certification - BRING THIS WITH YOU TO CLASS
Download the EXHIBIT C – Income Self-Certification -and BRING IT WITH YOU - Community Development Block Grant is a federal funding program to support lower income households. This agency requires all program participants to give us information on income and family size in order to qualify for services. You must complete this self-certification stating that the information you provide is true to the best of your knowledge. All information will be confidential and no information will be released without your written consent. “I certify that all information provided on this application is true to the best of my knowledge. I also understand that I will provide verification of income if requested and that my income information may be subject to random sampling for statistical reporting purposes.”
Once you hit the submit button you will be redirected to PayPal to complete your registration. The Registration will not be considered complete until the payment transaction has been completed.