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Fire and Emergency Medical Services Department

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Thank you for your child’s participation in the Juvenile Firesetters Intervention Program. In order to provide services for your child, please complete the parent forms in their entirety. Once they are completed, please Sign and click the submit button in the bottom right corner.

Please read instructions below:

1.Fill in all required and applicable information requested.
  • There are 5 (five) pages that you must read and complete.
  • Do not select the Signature Here options located on the forms until you have completely finished reviewing and completing all the forms. You must finish reviewing and completing all 5 (five) pages before you can sign.
  • If you do not have time to finish completing the packet, you can select the Save and Continue Later option located at the bottom banner of the screen. It will prompt you to create an account with SeamlessDocs.
2. Follow the prompts for creating your electronic signature and apply your signature to the required 3 (three) places throughout the packet.
  • Please note that you will need to check the checkmark of the following statement provided in English: “I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent
3. Once you have applied your signature to all the required forms, select Finalize and Submit
Please check that you agree before continuing.
By continuing I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored.
Signature HereClick to Sign
03/28/2024Click to Sign
Signature HereAleazor Taylor Will Sign Here
03/28/2024
Signature HereClick to Sign
03/28/2024Click to Sign
Signature HereAleazor Taylor Will Sign Here
03/28/2024
03/28/2024Click to Sign
Signature HereClick to Sign
03/28/2024Click to Sign
Signature HereAleazor Taylor Will Sign Here
03/28/2024

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