Registration Forms for CPR, First Aid, Babysitting and Senior Luncheon
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Special Needs Form
IF THERE IS A FAMILY MEMBER WITH THE FOLLOWING CONDITIONS:
*VISUALLY IMPAIRED
*HEARING IMPAIRED
*SPEECH IMPAIRED
*OTHER SPECIAL DISABILITIES
*WHEELCHAIR CONFINED
*DO NOT RESUSCITATE ORDERS
The Mokena Fire Protection District keeps a CONFIDENTIAL computer file of residents who have special needs. Should a life-threatening emergency or fire occur, this information is given to the responding firefighter/paramedics.
For your convenience you can either download a special needs form or submit the information using the submission form below.