HomeMy WebLinkAboutPDF Emergency Services Camp 2019 Junior High School Application
RETURN Application to: ICFD Training Officer/Lt. Brandon Smith, 410 E Washington St., Iowa City, IA 52240
(319)356-5258 email: brandon-smith@iowa-city.org
Office use only: Date Received_______________ Liability Waiver Returned/Signed_____________
Iowa City Emergency Services Youth Camp (6th-8th grades)
July 8-9, 2019
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 Emergency Services Camp will be on July 8-9 from 8 a.m. to 4 p.m. each day (lunch provided). The camp meeting location is Iowa City Fire Station
#4, located at 2008 N. Dubuque Road, Iowa City, IA 52240. Topics include: Basic FD emergency operations (ropes/knots, ladders, hoses, SCBA, FF turnout gear,
etc.), EMS (CPR, First Aid, Ambulance Ops), Special Response Team, Crime Scene Investigation, JC Metro Bomb Squad, (list not all inclusive & subject to
change). Attire: Please wear comfortable clothing appropriate for summer weather and physical activity, NO OPEN TOED SHOES.