Registration Form - North American Vehicle Rescue Association

Official NAVRA Membership Form

The North American Vehicle Rescue Association (NAVRA) is open to all Emergency Medical, Fire Service and Law Enforcement professionals that are in good standing throughout North America and the World.

Rescue Tool manufacturers, Personal Protective Equipment Manufacturers, Auto Manufacturers, Insurance Companies, Tow Company Operators and other Emergency Service Organizations are also invited to join NAVRA.

We acknowledge that without the Vendors/Sponsors, NAVRA would not be possible.

As such, Vendors/Sponsors are welcome to become members of NAVRA. Their participation and support will always be welcomed and appreciated.

All prospective members will be required to complete an online application (which can be found below) and where applicable, pay appropriate dues and be in good standing with the organization.

ALL Membership fees will be due by November 1st of each year.

Please select the type of membership for which you are applying *

Active Member (Individual)
Active Instructor / Assessor / Pit Crew Team Member
Active Vendor / Manufactuer

Membership Descriptions:

Active (Member): A person that has completed the online application, paid their annual dues of $30 and remains in good standing will be entitled one vote during organizational votes. Active members are eligible to become instructors, assessors and event organizers. It is also mandatory that any person wishing to participate in Rescue Challenge events be an active member.

Active (Instructor/Assessor); A person who works as a NAVRA instructor or as an Assessor during Training events or Rescue Challenges, that has paid their annual dues of $30 and remains in good standing will be entitled one vote during organizational votes. An active instructor/Assessor will have access to all NAVRA approved educational material and will be issued a member PIN for member’s only sections on the NAVRA web site (when available). Only active Instructors/Assessors will be used during NAVRA training sessions and rescue challenges. Vendors also registered as Instructors/Assessors will be entitled to one vote during organizational votes. Active (Vendor/Manufacturer): A single Vendor/Manufacturer that is active, has paid their annual dues of $30 and remains in good standing will be allowed one vote per Vendor/Manufacturer during organizational votes..

Active (Vendor/Manufacturer): A single Vendor/Manufacturer that is active, has paid their annual dues of $30 and remains in good standing will be allowed one vote per Vendor/Manufacturer during organizational votes.

Name *

First

Last

Date

Company Name or Department Name *

Member Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number *

Email *

Position within your Company/Department

Are you currently, or have you in the past, been involved in the delivery of Fire / Rescue / EMS services? If yes, please indicate for how long and where?

Do you hold qualifications recognized in your home jurisdiction in Fire / Rescue or EMS care as an Instructor and/or Trainer? If yes, please indicate what level.

Are you an Assessor and/or Instructor with any other training organization? If yes, please name the organization.

If there is anything else you feel NAVRA should know to consider your application, or have any further questions, please list them below.

Please submit your application, and then pay the corresponding membership fee below.

Name

Email Address

Select the membership for which you are applying:

New Member: $30 Annually – $30

Active Member/Instructor/Assessor/Pit Crew Member: $30 Annually – $30

Active Vendor/Sponsor: /small> – $30

Official NAVRA Membership Form

Please submit your application, and then pay the corresponding membership fee below.

North American Vehicle Rescue Association

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