Please fill out the following information to reserve a space in the up-coming Linden Fire Department Junior Fire Academy. Applications do not guarantee participation as spaces are limited. Applications must be filled out in its entirety and submitted no later than May 8, 2026 @ 3:00 PM.
Student Information Student Name(Required)
First
Last
Student's Home Address(Required) Linden’s Junior Fire Academy is for Linden Residents ONLY
T-Shirt Size (Check One):(Required) Please enter the correct size for your cadet uniform.
Short Size (Check One):(Required) Please enter the correct size for your cadet uniform.
NOTE: All recruits will be issued two (2) Shirts, two (2) pairs of shorts, and one (1) baseball cap. Recruits are responsible to wear the listed
uniform each day of the academy. Please provide an accurate size for your child. Uniform sizes cannot be changed once ordered.
Medical History(Required) Please include any past or current/pertinent medical history information. If there is none, then please enter “Not applicable.”
Parent and/or Legal Guardian Information Parent and/or Legal Guardian Name(Required)
First
Last
Parent and/or Legal Guardian Home Address(Required)
Parent Email Address(Required) Additional Parent and/or Legal Guardian Name
First
Last
Additional Parent and/or Legal Guardian Home Address
Parent Email Address Emergency Contact Name
First
Last
Emergency Contact Name
First
Last
Emergency Contact Name
First
Last
Code of Conduct There will be no use and/or possession of tobacco products or drugs. Any student
found to be in violation of this code will be immediately dismissed.
2. Students are required to arrive at Union County Fire Academy located at 710 Lower
Rd. Linden NJ, no later than 7:55 am. Students must be picked up no later than 3:00
pm
3. Students are expected to adhere to academy rules and regulations.
4. Students are required to obey all orders of academy instructors and are not to leave
the classroom without expressed permission of the instructor.
5. Should a student become ill or injured, he/she is to report immediately to an instructor.
6. Use of obscene, vulgar, or profane language will not be tolerated.
7. Students will conduct themselves in a professional manner at all times.
8. Students will address instructors as sir or ma’am. Yes/no sir, or yes/no ma’am.
Dress Code This academy has been developed to give each student the best possible learning experience.
Therefore, it is necessary that students present themselves in a neat and well-groomed manner. A
uniform consisting of hat, shorts, tee shirt, white socks, and sneakers will be worn at all times.
Hair must be neat and not a distraction to other students. Wearing of jewelry is prohibited.
Student Behavioral Conduct The purpose of this contract is to inform the undersigned student that he/she must comply with the provisions of the Linden Fire Department Junior Fire Academy and to specific terms set forth in this contract. The student understands that due to the nature of this academy, there will be zero tolerance rules in effect. Undesirable conduct, such as horseplay or a violation of the student code of conduct, will result in immediate removal of the student from the academy. This contract is in effect for the safety of all students and to maintain discipline and order. This contract represents
an agreement by the student that he/she received a copy of the Code of Conduct and the student agrees to adhere to this code at all times while at the academy.
Release of Liability I, the undersigned Parent/Guardian below, residing at the address listed above, do hereby give my child permission to attend the Linden Fire Department Junior Fire Academy and in
consideration of allowing him/her to participate in the above named program, I voluntarily and knowingly release and discharge the Junior Fire Academy, Linden Fire Department, City of Linden, facilities managers, and all instructors and participants in this program as well as all others who may be liable from all claims, present and future, known or unknown, in any manner arising out of his/her participation in the Linden Fire Department Junior Fire Academy.
Participants will have the opportunity to be physically conditioned, including but not limited
to daily physical training, and agility course; tour the Linden Fire Department, Union County Fire Academy and will be viewing demonstrations from city and county assets. Recruits will be transported to the Union County Fire Academy in Linden. Applicants will be held to an understanding of a paramilitary rank structure and the Code of Conduct set by the Linden Fire Department. If at any time a recruit is sick, receives an injury, or will not be participating in a scheduled event, the Linden Fire Department shall be contacted, via the Fire Headquarters main desk at (908) 474-8611, at least two (2) hours prior to the scheduled arrival time so that a report may be filed. Failure to comply may result in discharge of the recruit.
This hold harmless agreement is a testament to my understanding of the above evidenced by my signature below.
Photograph Release I grant the Linden Fire Department, its representatives, employees and/or their designee the right to take photographs of me and my property in connection with the Linden Fire Department Junior Fire Academy. I authorize the Linden Fire Department, its assigns and transferees to copyright, use and publish the same in print and/or electronically.
I agree that the Linden Fire Department may use such photographs of me with or without my
name and for any lawful purpose, including for example such purposes as publicity, illustration,
advertising, and Web content.
Hold Harmless Agreement The undersigned parent/guardian/participant (collectively the "Undersigned”), personally agrees to indemnify and hold harmless, from any and all liability, the County of Union, the Union County Fire Academy, and all of its officers, employees, servants, and agents, for any and all claims, costs and expenses, including reasonable attorney’s fees, resulting from personal injury, or property damage arising from the participant's involvement with event operations at the Union County Fire Academy.
The Undersigned, for himself/herself, his/her heirs, executors and administrators, waives, releases and forever discharges any and all rights and claims for damage which he/ she may hereafter accrue arising out of or connected with the participant's involvement in this event.
The Undersigned understands there may be physical activity, including participating in fire training exercises and that such activities involve certain risks or personal injury. With the Undersigned's signature on this form, he/she is representing that the participant does not have any health problems or physical limitations that would be affected by participation in such physical activities. The Undersigned understands the event may include a supervised demonstration of a real fire and the techniques used to extinguish the same.
By signing this Agreement below, the Undersigned acknowledges and represents he/she has read, understands, and voluntarily signs this Hold Harmless Agreement for full, adequate, and complete consideration fully intending to be bound by the same.
Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19 The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. Federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. The City of Linden Fire Department has put in place preventative measures to reduce the spread of COVID-19; however, the City of Linden Fire Department cannot guarantee that you or your child(ren) will not become infected with
COVID-19. Further, attending the City of Linden Fire Department Jr. Fire Academy could increase your risk and your child(ren)’s risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19.
By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending the City of Linden Fire Department Jr. Fire Academy and that such exposure or infection may result in personal injury, illness,
permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the City of Linden Fire Department Jr. Fire Academy may result from the actions, omissions, or negligence
of myself and others, including, but not limited to, City of Linden Fire Department employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at the City of Linden Fire
Department Jr. Fire Academy. On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the City of Linden Fire Department, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims
based on the actions, omissions, or negligence of the City of Linden Fire Department, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in the Jr. Fire
Academy.
Agreement & Consent Legal Consent(Required) Check this box to affirm.
By checking this box and entering my full name below, I electronically sign and agree to all policies, rules, conditions and agreements as set forth in this application.
Authorizing Parent and/or Legal Guardian Name(Required) The parent and/or legal guardian of the applicant should enter their first and last name.
First
Last
