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Members
Apparatus
about
- contact

Membership Signup

Enter your full name

Date of birth*

Address*

E-Mail address*

Phone Number*

Are you in good physical condition and in good health required to participate in the fire service?*

No

Yes

Physical limitations and/or health conditions

Have you ever been convicted of a violent crime or felony?*

No

Yes

Do you have a valid Operator's License?*

No

Yes

Operator's License

Do you have any previous experience in public safety?*

No

Yes

Explain previous experience

Are you requesting membership as a Firefighter or a Junior Firefighter?*

Firefighter

Junior Firefighter

firefighters near fire

firefighters near fire

Fill out the form below to answer the call and become a member of the Betsy Layne Fire Department. We welcome you!

Join Our Team

Sign up for membership to support YOUR local Fire Department and serve YOUR community today!

Emergency Line: (606) 478-5555

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Betsy Layne Fire Protection District

Business Line: (606) 478-4884