County Durham & Darlington Fire & Rescue Service
For further information contact the Young People and Arson Reduction Coordinator in CPP
Please return to: Young People and Arson Reduction Coordinator, Community Protection and
Prevention Department, Durham and Darlington Fire and Rescue Service, Service Headquarters,
Belmont Business Park, Durham, DH1 1TW
TO
BE COMPLETED BY PARENT/CARER
NAME IN FULL:………………………………………………………………………………
DATE OF BIRTH:………………….………………………….. AGE:……………..………
NAME OF PARENT/CARER:……………………….………………………………………….
ADDRESS:….……………………………………………………………………………..…
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CONTACT TELEPHONE NO:……..…………………………………………………………...
SCHOOL/PLACE OF STUDY ADDRESS:………..……………………………………………..
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CONTACT TELEPHONE NO:……..…………………………………………………………...
I agree to my child joining the Fire Cadets and partaking in all Fire Cadet activities. I can confirm
that the information on this application form is correct.
Signed: _________________________________________________________
Print Name: _________________________________________________________
Date: _________________________________________________________