Upperco Volunteer Fire Company

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Junior membership application

Required   Indicates Required Field
Date: Required 05/09/2025 0126
Applicant First Name : Required
Applicant Last Name : Required
Date of birth: Required
Age : Required
Street address: Required
City: Required
State: Required
Zip Code: Required
Home Phone number: Required
Applicant lives with: : Required
Allergies: Required
If yes, please specify :
Applicant email: Required
Applicant cell #:
Cell phone provider ( used to send group messages):
Parent/ Gaurdian Name: Required
Parent/ Guardian email: Required
Parent/ Guardian Cell # : Required
Parent/ Guardian Cell provider : Required
How did you hear about the UVFC Juniors program?: Required
Why do you want to join as a Junior member?: Required
Tell us about yourself:: Required




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Upperco Volunteer Fire Company
5500 Fringer Road
Upperco, MD 21155
Emergency Dial 911
Non-Emergency: (410) 887-1576
E-mail: info@uppercovfc.org
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