Red Feather Lakes Fire Protection District

CERTIFICATION AND RELEASE

I certify that the information given by me in the foregoing answers, and the statements made by me, are complete and true to the best of my knowledge and belief. I acknowledge that I have read the Bylaws and policies, and agree to abide by those said documents. I understand that any false information, omissions, or misrepresentation of facts in the application may result in rejection of my application or discharge of my membership. I hereby affirm that the information on the Medical Review Form is true and correct and that there are no omissions. I also state that I have the mental stability to perform under stress as a member of the Red Feather Lakes Volunteer Fire Department.