Leeds and Thousand Islands Emergency Services Training Centre, Lyndhurst, ON

Whether you are a seasoned professional or a new recruit, several training programs are offered each year. Identify the course you want to take then complete and submit this application form.

Part I - Applicant / Course Information

Emergency Services Training Centre will provide training with accessibility accommodation where possible. We ask that any required accommodations, including but not limited to physical, dietary or learning, be noted on below.

Part II - Fire Chief or Designate Information

By signing below, you agree to the following:

1. All documentation related to prerequisites for this course resides at the training centre and will be provided to the OFC if requested for audit purposes.
2. The student-learner registering for training is capable of performing all the physical and mental duties expected of a firefighter in this department.
3. The student-learner will abide by TLTI Emergency Services Training Centre policies, such as Workplace Harassment and Discrimination Policy. 
4. For student-learners attending training courses that require breathing apparatus the Fire Chief or designate attests that the applicant has been fit tested within the last year as per the CSA Standard Z94. All student-learners attending courses requiring SCBA are required to bring their own SCBA and 2 cylinders (60 Min. cylinders for HazMat courses). 

Before submitting this application (the “application”), I agree as follows:

1. I am 19 years of age or older, and am legally authorized and have all the required approvals necessary to make this application.
2. This application will be received and reviewed by Township staff and submitting this application does not mean that it will be accepted.
3. I freely accept and fully assume all risks, dangers and hazards associated with the application; and that I acknowledge my responsibility to properly insure and protect myself against risks associated with the application;
4. I waive all claims arising from this Application that I have or may have in the future against the Township, its elected officials, officers, employees, volunteers and representatives associated with the Application (hereinafter collectively referred to as the "Releasees");
5. I waive all claims arising from this application that I have or may have in the future against the Township, its elected officials, officers, employees, games officials, volunteers and representatives associated with my participation in the activity (hereinafter collectively referred to as the "releasees");
6. I release the releasees from any and all liability for death or any loss, damage, injury or expense that I may suffer, or that my next of kin may suffer arising from this application or due to any cause whatsoever;
7. I indemnify the releasees from any and all liability for any businesses losses damage to property of or personal injury to, any third party, arising from my application including the rejection of this application;
8. I agree that this agreement is binding upon my heirs, next of kin executors, administrators, assigns and representatives in the event of my death or incapacity; that I have read this agreement and I understand its content; and that by signing it I am waiving certain legal rights which I or my heirs, next of kin, executors, administrators and assigns may have against the releasees.

By inserting my name below, the date, and clicking “submit” I declare that I have understood the risks associated with the application and that I am giving up my right to sue the Township for damages if I am injured or suffer financial losses as a result of this application.

By completing the 'Signature of Fire Chief / Manager or Designate' field you confirm the participant meets the course requirements and is approved to enrol in the program.