Become a Clay County Fire and Rescue Volunteer Online Interest Form

Contact us Today!

Use the form below to apply for membership to the Clay County Fire and Rescue. After completing this form, a representative of the membership committee will contact you. In the meantime, feel free to browse our website or visit our station to see what Clay County Fire and Rescue is about.

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Todays Date/Time:		04/20/2026 0858
Membership Type:		Select Below Cadet Junior Active Administrative Auxiliary
First Name:
Last Name:
MI:
Email Address:
Primary Phone:
Date of Birth:
Previously a member of a fire department?:		Yes No
How did you hear about becoming a volunteer?:
Questions/Comments: