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APPLICATION FOR MEMBERSHIP Keystone Wildfire Crew Inc. 462 Red Hill Road Pequea PA 17565 Po Box 117 Holtwood PA 17532 Application Date Application Type Firefighter Under 18 Jr. The signature of a parent or guardian authorizes The Keystone Wildfire Crew Inc. to conduct the aforementioned investigation on the background of a juvenile application. SIGNATURE OF APPLICANT SIGNATURE OF PARENT OR GUARDIAN IF UNDER 18 DATE APPLICATION DISPOSITION Officia.

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