P.O. Box 150434 * Lakewood, CO 80215 * (303) 857-7992
 

F.E.A.T. Jeffco Response Team
Program Application & Information Change Form

This application is to join the Jeffco Response Team Chapter of the Four wheel Emergency Assistance Team, A program of the Colorado Association of 4 Wheel Drive Clubs, Inc. (CoA4WDCI). You need NOT be a member of CoA4WDCI or one of its clubs. You are NOT eligible to join FEAT if you have:

• No driver’s license or the state required insurance
• If you have a DUI or Felony conviction

By submitting this application, you are agreeing to a background investigation by the Colorado Bureau of Investigation.

Please provide the following contact information:

Is this a new application or an update?: New Application / Updated or Information Change
First Name:
M.I.
Last Name:
Birthdate
Month
Day
Year
Street:
City:
State: ZIP
Phone:
Home
 xxx-xxx-xxxx
Work
Cell
    
E-mail:
 
   
Do you belong to an 4WD or OHV Club. Yes / No
Which Club:

Name, address and phone number of person to notify in case of emergency:

First Name:
M.I.
Last Name:
Phone:
Home
 xxx-xxx-xxxx
Work
Cell
    
I hereby apply for membership in Jeffco Response Team and agree to abide by the established rules and regulations of the organization and I agree to a background investigation. I understand that as a volunteer of the Jeffco Response Team I must furnish my own vehicle, insurance and gasoline. I further understand that neither nor the Jeffco Response Team, nor the Colorado Association of 4 Wheel Drive Clubs, Inc. nor Jefferson County or their employees will be held responsible for any accidents or damages to my vehicle or other vehicles or private property in which I may be involved during my work as a F.E.A.T. volunteer.

 
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