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2025 Responses
Fire EMS
Jan 52 140
Feb 47 105
Mar 50 125
Apr 45 133
May 58 123
Jun 51 120
Jul 54 141
Aug 49 118
Sep 55 118
Oct 57 134
Nov 56 95
Dec 65 131
Total 639 1483

2024 Responses
Fire EMS
Jan 60 124
Feb 59 132
Mar 55 140
Apr 61 125
May 49 119
Jun 55 133
Jul 58 129
Aug 53 130
Sep 60 132
Oct 46 113
Nov 59 96
Dec 43 128
Total 658 1501

Past Responses
Fire EMS
2025 639 1483
2024 658 1501
2023 717 1599
2022 673 1500
2021 604 1440
2020 554 1143
2019 537 1208
2018 551 1390
2017 792 1454
2016 719 1397
2015 812 1410
2014 752 1288
2013 608 1251

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Jun 05, 2026
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Junior Membership Application

Required   Indicates Required Field
Personal Information
Last Name: Required
First Name: Required
Middle Name: Required
Current Address: Required
City: Required
State: Required
Zip Code: Required
Home Phone:
Cell Phone:
Child's Email Address:
Parent's Email Address: Required
Parent #1 (or Guardian's) Name: Required
Parent #2 (or Guardian's) Name: Required
Emergency Contact Information
In Case of Emergency Contact #1: Required
Emergency Contact #1 Address: Required
Emergency Contact #1 City: Required
Emergency Contact #1 State: Required
Emergency Contact #1 Phone #: Required
Emergency Contact #1 Relationship: Required
Emergency Contact #2 Name:
Emergency Contact #2 Phone #:
Emergency Contact #2 Relationship:
References
Please provide the names of any fire company personnel you are acquainted with (if any):
Education ***Report cards are checked quarterly. The Junior must maintain at least a C average in school.***
Name of School Currently Enrolled: Required
Name of Counselor / Advisor: Required
Please upload a copy of your most recent report card:
Add files...
General Information (* Optional) NOTE: you must be ages 10 (enrolled in 5th grade) - 15 to apply.
Date of Birth: Required
Do you have any physical limitations or disabilities which may limit participation in physical activities?: Required
If Yes, please describe:
Do you have any medical conditions we need to be aware of?: Required
Please describe:
Why do you want to be a member of the Hampstead Junior Fire Company?: Required
NOTE: NO APPLICATION WILL BE ACCEPTED WITHOUT THE FIRST YEARS DUES PAID IN FULL!
In order to be considered for membership you must submit a recent photo with your completed application.: Required
Add files...
I certify that all statements are true. I understand that any false statements made will be grounds for rejection or dismissal. I agree to abide by the By-Laws and rules of the Hampstead Volunteer Company
By typing my name I am certifying that all the information is honest and correct.
Signature of Applicant: Required
Signature of Parent or Guardian (If applicant is under 18):
Date of submission: Required 06/05/2026 1926
Upon submission of this application you will be directed to our Square page so you may pay the $5.00 application fee.




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