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4. 9/11 Memorial Stair Climb Team Registration Form

   The 9.11 Stair Climb Relay, sponsored by the Alamogordo Fire Department, honors the firefighters and other first responders who gave their lives on September 11, 2001.

   Teams of up to four participants climb the equivalent of the 110 stories of the World Trade Center in tribute to the ultimate sacrifice of the 9.11 heroes. In honor of the 343 firefighters lost that day, each participant carries at least one photo of a fallen FDNY member.

   This year’s Stair Climb is free to participate in.  Each team member must be 18 or older or be a member of a fire department.

6. Team Contact*

   First & Last Name

7. Team Name
9. Email Address*
10. Phone Number*
11. Zip Code
13. Are you representing a first response department?*

    1. Yes
    2. No
14. If yes, Name of Department:
15. Department Chief's Name:
17. Team Member #1
18. Age of member #1

    1. Over 18
    2. Under 18
19. Fire Department
21. Team Member #2
22. Age of member #2

    1. Over 18
    2. Under 18
23. Fire Department
25. Team Member #3
26. Age of member #3

    1. Over 18
    2. Under 18
27. Fire Department
29. Team Member #4
30. Age of member #4

    1. Over 18
    2. Under 18
31. Fire Department
33. Other relevant information:

35. For more information email Janice Armstrong at the Alamogordo Fire Department at armstrongj@ci.alamogordo.nm.us or call 575-439-4298. 

Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit Submit and Print

* indicates a required field