HomeMy WebLinkAboutICPD-ICFD (Elem) 5- 6 Grade Application 2016
RETURN Application to: Officer A. Hayes, ICPD, 410 E Washington St, Iowa City, IA 52240
Office use only: Date Received_______________ Liability Waiver Returned/Signed_____________
IOWA CITY POLICE / FIRE YOUTH ACADEMY (5th & 6th grade) APPLICATION
Name____________________________________________
Address__________________________________________
City_________________________State_________________Zip_________Phone________________________
Date of Birth_______________Age______School_________________________Grade Entering_____________
Parent/Guardian Name__________________________________Email___________________________________
Address_____________________________________________
City_________________________State_______________Zip___________Phone__________________________
EMERGENCY CONTACT NAME_____________________________Relationship_________Phone_______________
Any Known Allergies or Food Allergies______________________________________________________________
Any Medical Condition(s)________________________________________________________________________
The Iowa City Police/Fire Youth Academy will be July 5-6, 2016. We will start each day at the ICPD Substation, 1067 Hwy 6 E, Iowa City, IA, 52240. The Academy
will start at 9:00am each day and end at 3:00pm each day (lunch included). Topics include: ICPD/ICFD Tour& Overview, K9 Unit, Special Response Team, Crime
Scene Investigation, JC Metro Bomb Squad, Fire Apparatus, Fire Turnout Gear, etc. (list not all inclusive subject to change)