Please fill out the form below if you are interested in becoming a member of the Coatesville Fire Department.
Membership open to persons 18 or older.

Benefits of membership:
Free Paid Training
Free Gym Access
Reduce Phone Plans

Indicates Required Field

First Name:
Last Name:
Email Address:
Phone Number:
Date of Birth:
Previously a member of Fire Department:		No Yes
Are you interested in Fire or EMS:		EMS Fire