City of Riverside Fire & Police Department Cal Baptist University College of Nursing 07/15/2024 - 07/19/2024 9:00am to 4:00pm Eligibility Students must live or attend school in the City of Riverside (open to public, private and home schools). Students must have completed the 9th grade. Requirements Must provide your own transportation. Must attend all 5 days to complete the program. Registration is limited to 60 students. Must submit parent/legal guardian signed waiver/consent forms. Program includes classroom and physical participation. Students are required to follow a code of conduct. Failure to do so will result in being removed from the program. We conform to established public health guidance and assure the safety of all. * You will receive updates and information about the programs. If you find that you are no longer able to participate, please let us know as soon as possible. Student Last Name * Student First Name * Student Email (please use an alternate email you can access out of school) * Student Phone Number * Student Date of Birth * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year2005200620072008200920102011 Year Parent/Legal Guardian First Name * Parent/Legal Guardian Last Name * Parent/Legal Guardian Email * Parent/Legal Guardian Phone Number * Address * Student's School of Attendance * Student Grade Academic Year 2022/23 * 9 10 11 12 Do you have access to the internet at home and a Chromebook or iPad? * Yes No Please check your email for waiver/permission slip that will need to be signed and returned prior to the start of the program by a Parent/Legal Guardian to secure a seat. Registration will close on June 30, 2024. Contact Gina Perez Fire Public Education Coordinator City of Riverside Fire Department [email protected] (951) 826-5334 Submit
