LAMSFA Multigenerational Registration

In recognition of a tradition of multi-generational service in a Maryland Fire / EMS Auxiliary. All generations should be living but not necessarily active. You do not have to belong to the same Auxiliary, but please include the Auxiliary that they belong to beside each name given. You must have a minimum of three generations.

"*" indicates required fields

Your Information

Person Completing Form*

Completer's Auxiliary Name*

Completer's Phone*

Completer's Email*

Auxiliary Information

It is very important that the Auxiliary & Generational Name information is carefully entered. Certificates will be printed EXACTLY as the information has been supplied.

Are all generations associated with the same Auxiliary?*

Yes

Official Auxiliary Name*

Auxiliary Address*

Auxiliary Phone Number*

Date of Auxiliary Incorporation

Auxiliary Email Contact*

1st Generation Information

Name*

Official Auxiliary Name*

Auxiliary Address*

Auxiliary Phone Number*

Date of Auxiliary Incorporation

Auxiliary Email Contact*

2nd Generation Information

Name*

Official Auxiliary Name*

Auxiliary Address*

Auxiliary Phone Number*

Date of Auxiliary Incorporation

Auxiliary Email Contact*

3rd Generation Information

Name*

Official Auxiliary Name*

Auxiliary Address*

Auxiliary Phone Number*

Date of Auxiliary Incorporation

Auxiliary Email Contact*

4th Generation Information (Optional)

Name

Official Auxiliary Name*

Auxiliary Address*

Auxiliary Phone Number*

Date of Auxiliary Incorporation

Auxiliary Email Contact*

Name

This field is for validation purposes and should be left unchanged.

Maryland State

FIREFIGHTERS ASSOCIATION

Your Information

Auxiliary Information

1st Generation Information

2nd Generation Information

3rd Generation Information

4th Generation Information (Optional)

Partners of the MSFA

Maryland State

Firefighters Association

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