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2. Citizen Fire Academy Interest Form
4. First Name*
5. Last Name*
7. Email*
8. Phone*
10. Address*
12. City
13. State
14. Zip Code
16. How did you hear about Citizens Fire Academy?*
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18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

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