If this is a Bucks Class please put the FSC #
Course Location (Full address)
Is "Live Fire" being used
IS DOH ConEd Provided?
Instructor Contacted
Instructor Address
By checking this box, I acknowledge that this is just a request and not a guaranteed approval from LESTA to use LESTA's TMP Package for this course. Approval will come from the LESTA Training Coordinator via email. I also acknowledge LESTA will not pay for certification testing and this is the responsibility of the student of fire company requesting training.