Volunteer Online Interest Form

Use the form below to apply for membership to the Wallkill Hook, Ladder and Hose Co., Inc.. 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 the Wallkill Hook, Ladder and Hose Co., Inc. is about.

Indicates Required Field

Todays Date/Time:		09/05/2026 1642
Membership Type:		Select Below Firefighter Driver / Operator Administrative / Social Auxiliary
First Name:
Last Name:
MI:
Are you 18 years or older?:		Yes No
Date of birth:
Email Address:
Primary Phone:
Address:
Availability :
Previously a member of a fire department?:		Yes No
How did you hear about becoming a volunteer?:
Questions/Comments:
I agree that my submitted data is being collected and stored:		Yes