F2T 101 Registration Hosted by IAFF Local 682 / Winston-Salem Fire Department

Registration Counter*
Registration space is limited.
Information About Your Department and IAFF Local Affiliate
The information collected in this section will be used for sending notification to your IAFF Local President, and helps to identify and pair your registration with your profile in the IAFF membership database. This information will not be shared outside of the IAFF and Performance Redefined.
Name of your Fire Department*
Are you a member of an IAFF Local Affiliate?*
- Yes
- No
IAFF Local Number*

Please insert in the format L, followed by 4 numbers (e.g. L0001 or L9999).
Name of Your Local Union President*
First Last
Email of Local Union President*
Enter Email Confirm Email
Registrant Personal Information
The information collected in this section will be used to identify and pair your registration with your profile in the IAFF membership database. This information will not be shared outside of the IAFF and Performance Redefined.
Name*
First Last
Please provide the name of the individual attending the course.
IAFF Member ID*

Please insert your 7-digit member ID (e.g. 0111111 or 0999999). If no IAFF member ID, please insert 00.
What Best Describes your Role in the Department?*
Personal Email Address*
Enter Email Confirm Email

If possible, please provide a personal email address. Our team's emails may get blocked by government server restrictions.
Phone*
Shipping Address*
Country Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Course Details and Payment
This course takes place at Alexander Beaty Public Safety Training Center (1200 N. Patterson Ave, Winston-Salem, NC, 27105) over 4 full days (March 6-9, 2023).
T-shirt Size*
F2T 101 Student Registration*
Price:
** Price is in USD and does not including relevant transaction fees for residents outside the United States**
Coupon

Enter your coupon code here if you have pre-paid for your registration
Total
$0.00
Refund and Exchange Policy*
I have read and understand Fit To Thrive's refund policy. It can be found by clicking HERE.
Billing Name*
First Last
Billing Email*
Billing Address*
Country Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Payment with credit card is supported in PayPal Checkout without the need to have a PayPal account.
Payment Method

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Payment with credit card is supported in PayPal Checkout without the need to have a PayPal account.

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