Emerald Society Membership Application

Emerald Society Firefighters of Washington Application

Membership is available to all members of the DCFD & surrounding jurisdictions. Our 3-year membership fee is $50 + a $2.50 online application fee (you must submit payment upon completion of application). To sign up and JOIN THE FUN, fill out the application below.
Personal Information
Full Name *

First Name Last Name Suffix
Address *

Street Address

Street Address Line 2

City State

Zip Code
Phone Number *

Area Code Phone Number
E-mail *

Confirmation Email
Fire Department Affiliation
Department *

DCFD Montgomery County Fire Rescue PG County Fire Dept Arlington County Fire Dept Alexandria Fire Dept MWAA Fire Dept Fairfax County Fire Rescue Loudoun County Fire Rescue Prince William County Fire Rescue Frederick County Fire Rescue
Appointment Date *

Month Day Year
Date
Retirement Date

Month Day Year
Date
Rank *
Assignment *
Company/Station
Shift *
Platoon 1,2,3,4 / A,B,C,D
By clicking "apply and submit", I verify that all information above is true. Once clicked you will be automatically re-routed to PayPal and must submit secure payment of $52.50 in able to be granted membership.
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Emerald Society Firefighters of Washington Application