First Responder Workshop Registration Form

Fayette County – February 2, 2022 6:30 p.m. – Perry Township Volunteer Fire Department, 206 Liberty Street, Perryopolis PA 15473

Somerset County – February 3, 2022 9:00 a.m. – Somerset Volunteer Fire Department, 340 W. Union Street, Somerset PA 15501

RSVP deadline is Friday, January 28, 2022.

First Responders Workshop

Please select which location you would like to attend below(Required)

Fayette County – February 2, 2022 6:30 p.m. - Perry Township Volunteer Fire Department, 206 Liberty Street, Perryopolis PA 15473

Somerset County – February 3, 2022 9:00 a.m. - Somerset Volunteer Fire Department, 340 W. Union Street, Somerset PA 15501

Name(Required)

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Title/Position(Required)

Municipality/Organization(Required)

Organization Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Enter Email Confirm Email

Please Tell Us About Your Municipal/Organizational Needs (Please keep responses under 250 words)

What grant program interests you the most? What project/projects do you have?

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