2. 
4. Name*
6. Title*
8. Agency*
10. Phone Number*
11. Email Address*
13. Live Fire Training Facility Calendar*

    1. I have checked the Live Fire Training Facility calendar
15. Enter the requested date:*
    Enter the requested date: Start Date

    Enter the requested date: Start Time

    —

    Enter the requested date: End Date

    Enter the requested date: End Time
17. Choose from the following options:*

    1. Non-Live Fire Training
    2. Live Fire Training
    3. Confined Space Training
    4. Repelling Tower
    5. Law Enforcement Use
18. Is this a NYS OFPC training?

    1. Yes
    2. No
19. PLEASE NOTE:
    A representative from the Cortlandville Fire District will confirm your reservation and call you prior to use.
21. Description of Requested Use*
    Use this space to briefly describe training plans. (i.e. hose stretches, throwing ladders...)
23. Special Notes:
    If you would like to also use the Regional Training Center please fill out the RTC Use Request form. They must be reserved separately.
Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field