Schuylkill County Emergency Services Training Center

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New Facility Request Form

New Facility Request Form

Company/Organization Information
First select Municipality from the Dropdown List, then select Fire Company. For Other Organizations, Non-Member, or Out of County Fire Companies, Please Click 99 and complete Non-Member Fire Company Section.
Fire Company Municipality*
Fire Company*
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Other Organization, Non-Member or Out of County Fire Company Name*
Address*
Street Address Address Line 2 City State ZIP Code
Requestor Name*
Requestor Email*
Requestor Phone*
Type of Training*
- Fire Company Level Training
- Industrial/Business Training
- Other Usage
Other Usage (Describe in box)*
Date Requested*
Date Format: MM slash DD slash YYYY
Start Time Requested*

: HH

MM
End Time Requested*

: HH

MM
Additional Dates Requested
Date Start Time End Time
Facilities Requested*
- Pump Pad
- Hydrant System
- Burn Building (No Live Fire)
- Drill Tower
- Classroom 3
- Classroom 4
- Breathing Air Compressor (Fixed Cascade)
- Confined Space Simulator
- Flammable Fuels Pad
- Forcible Entry Simulator
- Haz Mat - Tanker Truck
- Railroad Tank Car
- SCBA Obstacle Course
- Smoke Maze Building
- Sprinkler Head Simulator
- Standpipe System
- Survival Simulator
- Vehicle Fire Pad
- Vehicle Rescue Pad
- Vault

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