Fire Explorer Program Please enable JavaScript in your browser to complete this form.Your Child's InformationChild - Full Name *FirstLastChild - Date of Birth *Child - Age *Child - Current SchoolThis is not a required question. However, your answer will help us interpret which areas of Corpus Christi we are reaching and which areas to reach out more to.Parent InformationFull Name *FirstLastPhone Number *Email Address *EmailConfirm EmailOther InformationDoes the child have any food allergies or health issues you would like us to be aware of? If yes, please state below.Emergency Contact *FirstLastEmergency Contact Phone Number *Waiver InformationIn case of an emergency: *I give full consent to those qualified at National First Responder Training Complex to perform immediate medical attention.In case of an injury: *I hereby release National First Responder Training Complex, and all their employees from any injury that my child may endure on their site through the duration of the program. I agree to not pursue any legal action against National First Responder Training Complex.I consent: *I, the parent or legal guardian of this child am 18 years or older and give full consent for the minor, 17 years or under, to participate in the National First Responder Training Complex Fire Explorer Program.Signature *Clear SignatureFire Explorer Program - Single Child *Total Amount Due *$ 0.00Submit
