www. fd ic .com

Attendee Name:

Phone:

Badge ID: 1

RegistRation infoRmation sheet

april 7–12, 2014indiana Convention Center & Lucas oil stadium

indianapolis, indiana

Registration Sponsor:

RegistRation■ Fully complete the registration form. Incomplete registration forms

will be returned for complete information. ■ Placement in Hands-On Training (H.O.T.) classes is not reserved

until registration form is fully completed and payment is received. ■ Payment for all Early Bird registrants must be received by February

27, 2014. Registration and payment received after February 27, 2014 is subject to full registration fees.

■ Each attendee must be individually registered. Single registrations may not be separated or shared among multiple attendees.

■ There is no refund for partial-day attendance.

IF PAYING WITH PURCHASE ORDER (PO) - Purchase order must have a credit card guarantee or the registration will be forfeited. Payment must be received by February 27, 2014 in order to receive the Early Bird rate. A PO is not considered a payment. Payments must be received prior to the event or upon arrival to receive your badge.

Hands-on tRaining infoRmation ■ Register early. Hands-On training class sizes are limited. ■ Hands-On training participants must register and report to Staging

by 6:30 a.m.■ Signed liability waivers are required for all Hands-On training.

Visit www.fdic.com to print a liability waiver. ■ Full turnout gear and/or technical rescue gear is required for

certain Hands-On training. (See “Important Notes for H.O.T. Attendees” at www.fdic.com.)

■ Lunch is provided for all Hands-On training attendees ■ SCBA will be provided when necessary. ■ If selecting 4 hour Hands-On training in the morning, you can only

select a Hands-On training for the afternoon. You cannot combine a Hands-On training and a Pre-Conference workshop on the same day.

■ H.O.T. Class Pricing: 4-hour are $150 each and 8-hour are $250 each in addition to the registration fee.

PRe-ConfeRenCe WoRKsHoPs infoRmation■ Morning Pre-Conference workshops begin promptly at 8:00 a.m. ■ Afternoon Pre-Conference workshops begin promptly at 1:30 p.m.■ Lunch is NOT provided for Pre-Conference workshop attendees.■ If selecting a 4 hour Pre-Conference workshop in the morning,

you can only select a Pre-Conference workshop for the afternoon. You cannot combine a Hands-On training and a Pre-Conference workshop on the same day.

■ Pre-Conference workshops are $125 each in addition to the registration fee.

steP by steP Hands-on tRaining instRuCtions

1. Fully complete the registration form.2. Select Hands-On Training Premium Package or Hands-On

Training and Pre-Conference Workshops Only on page 5.3. Choose your classes on pages 3 & 4.4. Total the registration fees and the class fees on the

bottom of page 5.5. Payment is required to reserve H.O.T. classes.

www. fd ic .com

Attendee Name:

Phone:

Badge ID: 2

attenDee infoRmation (Enter this information as you would like it to appear on your badge)

Rank/title (01) Chief of Depart. (07) Firefighter/Paramedic (02) Staff Chief (08) Firefighter/EMT (03) Other Officer (06) Other (04) Firefighter (please specify)___________________ (05) Training Officer

Job function (Check all that apply) (01) Management (08) Public Education (02) Training (09) EMS (03) Prevention (10) Haz Mat (04) Suppression (11) Rescue (05) Investigation (13) Wildfire (06) Maintenance (12) Other (07) Communication (please specify)___________________

Purchasing Responsibility (04) Approve (02) Recommend (01) Purchase (03) Specify

are you a member of a purchasing committee? (1) Yes (0) No

type of Department (01) Volunteer (04) Industrial (02) Career (05) Military (03) Combination (06) Other

Career/Vol (please specify)___________________

Population served by Department (01) Under 2,500 (05) 50,001-100,000 (02) 2,501-10,000 (06) 100,001-500,000 (03) 10,001-25,000 (07) Over 500,000 (04) 25,001-50,000

Do you read Fire Engineering? (01) Yes (02) No

If yes, whose copy do you read? (01) I subscribe (02) My department’s copy (03) I read a co-worker’s copy

Do you read Fire Apparatus & Emergency Equipment magazine? (01) Yes (02) No

how many years have you attended fDiC? _____

i am visiting the fDiC 2014 exhibitsto obtain information on: (Check all that apply)

(01) Ambulances (02) Apparatus &

Apparatus Accessories (03) Badges, Emblems

& Accessories (04) Breathing Apparatus/Air

Systems/SCBA & Supplies (05) Communications/Radios/

Dispatch Equipment (06) Computer Services/Software (07) Water, Diving & Ice Rescue

Equip. & Accessories (08) Educational Materials/

Colleges/Training Services & Equipment

(09) EMS Equipment & Supplies (10) FOAM, Environmental

Products, CAF Units (11) Fans/Portable Generators

& Accessories

(12) Hand Tools & Forcible Entry (13) HazMat Products (14) Incident Management/

Accountability Systems (15) Insurance / Financial

Institutions/Consulting Services (16) Miscellaneous/Other (17) Monitors & Detectors (18) Nozzles, Hoses, Reels

& Couplings (19) Protective Clothing (PPE) /

Apparel (20) Pumps/Gauges (21) Rescue Tools & Equipment (22) Ropes, Chains, Safety Belts

& Accessories (23) Sirens, Alarms &

Signaling Devices (24) Thermal Imaging Cameras (25) Wildfire Rescue Equip. & Access.

First Name Last Name Title

Department/Company (Maximum 30 Characters)

Address (To mail badge and conference information)

Address 2 (Suite #, etc.) Country

City State Zip

( ) ( ) Phone Fax E-mail (A unique Email is required for processing registration)

( ) Cell (Required for Emergency Response Communication)

www. fd ic .com

Attendee Name:

Phone:

Badge ID: 3

hanDs-on tRaining anD PRe-ConfeRenCe WoRkshoPs

4-Hour Hands-On Training: Monday, April 7, 8:00 a.m.-12:00 p.m. . . . . . . . . . . . . . . . ($150) 1st 2nd 3rd 4th 5th

01MA Aerial and Tower Operations 02MA Conventional Forcible Entry 03MA Engine Company Essentials: Getting Water on the Fire! 04MA Flashover 05MA Heavy Vehicle Extrication 06MA Keeping Yourself Alive 07MA Man vs. Machinery 08MA Rescue and Squad Company Operations on the Fireground 09MA School Bus Extrication and Rescue 10MA Vehicle Extrication 11MA Vent-Enter-Search

8-Hour Hands-On Training:Monday, April 7, 8:00 a.m.-5:00 p.m. . . . . . . . . . . . . . . . ($250) 1st 2nd 3rd 4th 5th

12M Collapse and Void Search Rescue 13M Conducting NFPA 1403 Live Burn Training 14M Grain Bin Rescue and Engulfment Operations 15M Live Fire: First-Due Tactics 16M Nozzle Forward 17M RIT Combat Drills 18M Truck Company: Essentials 19M Urban Essentials

4-Hour Pre-Conference Workshops:Monday, April 7, 8:00 a.m.-12:00 p.m. . . . . . . . . . . . . . ($125) 1st 2nd 3rd 4th 5th

20MA Building the Foundation of a Winning Team 21MA Coaching & Mentoring: The Forgotten Elements of Leadership 22MA Command and Control: We Need to Do It Better and Safer 23MA Company Officer Development: Lead from the Right Seat 24MA Designing a Safe and Effective Emergency Response Plan 25MA Developing Preplans and Simulation Training Using Your Plans 26MA Extrication Zone: Hybrid/New Vehicle Technology 27MA Fireground Scenario Workshop 28MA High-Rise Operations: Strategic, Tactical, and Task Level 29MA Improving Behavioral Health through Better Interpersonal Communications

30MA Instructor and Training Officer Bootcamp 31MA Intelligent Fire Operations: Be Aggressive But Smart 32MA Know Your Smoke: The Comprehensive Dangers 33MA Leadership Development: Leadership Excellence 34MA Modern Training Techniques for Tactical Success 35MA Must-Have Policies for Every Fire Department 36MA Surviving the Fireground 37MA Surviving Utility Emergencies and Fires 38MA Truck Company A to Z 39MA Wood Frame & Ordinary Construction: Principles and Hazards

Monday, April 7, 2014 Hands-On Training

4-Hour Hands-On Training:Monday, April 7, 1:00 p.m.-5:00 p.m. . . . . . . . . . . . . . . . ($150) 1st 2nd 3rd 4th 5th

01MP Aerial and Tower Operations 02MP Conventional Forcible Entry 03MP Engine Company Essentials: Getting Water on the Fire! 04MP Flashover 05MP Heavy Vehicle Extrication 06MP Keeping Yourself Alive 07MP Man vs. Machinery 08MP Rescue and Squad Company Operations on the Fireground 09MP School Bus Extrication and Rescue 10MP Vehicle Extrication 11MP Vent-Enter-Search

4-Hour Pre-Conference Workshops:Monday, April 7, 1:30 p.m.-5:30 p.m. . . . . . . . . . . . . . ($125) 1st 2nd 3rd 4th 5th

40MP “25 to Survive”: Reducing Residential Injuries and LODDs 41MP Be a Leader, Not Just a Position 42MP Big Box Store Firefighting Strategies and Tactics 43MP Blink: Making Critical Fireground Decisions 44MP Chief Problem Solver 45MP Company Officer Development: Red Flags on the Fireground 46MP Drill Development: The Next Level 47MP Extrication Zone: Principles of Extrication

48MP Firefighting: Career or Volunteer, “The Ultimate Team Sport”83MP First-Due Tactics Take-Home Package

49MP Leadership Development: Five-Alarm Leadership 50MP Leading in Changing Times: Three Windows for Successful Growth

51MP Lessons Learned from the SC Fatal Sofa Store Fire 52MP Modern Buildings: Recipe for Firefighter Deaths and Injuries 53MP NIMS and ICS: Strategies and Tactics for Large-Scale Incidents 54MP Teaching Adults: Evidence-Based Best Practices 55MP Think Like an Incident Commander 56MP This House Rocks! The Place Everyone Wants to Work 57MP Understanding, Surviving, and Mastering the Modern Residential Firefight

58MP Ventilation Flow Paths & Fire Growth: A Review of Recent LODDs

PLease note: if you seLeCt a hanDs-on tRaining in the moRning, youR afteRnoon seLeCtion must aLso be a hanDs-on tRaining CouRse.

HANDS-ON TRAINING COURSES INClUDE lUNCH.

Monday, April 7, 2014 Pre-Conference Workshops

PLease note: if you seLeCt a PRe-ConfeRenCe WoRkshoP in the moRning, youR afteRnoon seLeCtion must aLso be a PRe-ConfeRenCe

WoRkshoP. PRE-CONFERENCE WORkSHOPS DO NOT INClUDE lUNCH.

Three-Day Workshop: Monday, April 7, 8 a.m.-5 p.m.; Tuesday, April 8, 8 a.m.-5 p.m.; Wednesday, April 9, 10:30 a.m.-5 p.m.FDIC Blue Card Simulation Lab and Conference

Three-Day Evolution: Sunday, April 6, 8 a.m.-5 p.m.; Monday, April 7, 8 a.m.-5 p.m.; Tuesday, April 8, 8 a.m.-5 p.m.FDTN Engine Company Operations I & FDTN Truck Company Operations I

www. fd ic .com

Attendee Name:

Phone:

Badge ID: 4

hanDs-on tRaining anD PRe-ConfeRenCe WoRkshoPs

PLease note: if you seLeCt a hanDs-on tRaining in the moRning, youR afteRnoon seLeCtion must aLso be a hanDs-on tRaining CouRse. HANDS-ON TRAINING COURSES INClUDE lUNCH.

PLease note: if you seLeCt a PRe-ConfeRenCe WoRkshoP in the moRning, youR afteRnoon seLeCtion must aLso be a PRe-ConfeRenCe

WoRkshoP. PRE-CONFERENCE WORkSHOPS DO NOT INClUDE lUNCH.

4-Hour Hands-On Training:Tuesday, April 8, 8:00 a.m.-12:00 p.m. . . . . . . . . ($150) 1st 2nd 3rd 4th 5th

01TA Aerial and Tower Operations 02TA Conventional Forcible Entry 03TA Engine Company Essentials: Getting Water on the Fire! 04TA Flashover 05TA Heavy Vehicle Extrication 06TA Keeping Yourself Alive 07TA Man vs. Machinery 08TA Rescue and Squad Company Operations on the Fireground 09TA School Bus Extrication and Rescue 10TA Vehicle Extrication 11TA Vent-Enter-Search

8-Hour Hands-On Training:Tuesday, April 8, 8:00 a.m.-5:00 p.m. . . . . . . . . . ($250) 1st 2nd 3rd 4th 5th

12T Collapse and Void Search Rescue 13T Conducting NFPA 1403 Live Burn Training 14T Grain Bin Rescue and Engulfment Operations 15T Live Fire: First-Due Tactics 16T Nozzle Forward 17T RIT Combat Drills 18T Truck Company: Essentials 19T Urban Essentials

4-Hour Pre-Conference Workshops:Tuesday, April 8, 8:00 a.m.-12:00 p.m. . . . . . . . . . . . . . . . . . . . . ($125) 1st 2nd 3rd 4th 5th

59TA Building the Ladder: Officer Development Programs 60TA Company Officer Development: Developing & Inspiring Exceptional Fire Officers 61TA DC Fire: Leadership and Accountability 62TA Decision Making at Commercial Building Fires 63TA Drill Ground Instructor Academy 64TA Engine Company Operations: Why We Fail and How We Succeed 65TA Essentials of Fire Investigation 66TA Extrication Zone: Large Trucks/Trailers/Buses 67TA Fireground Incident Action Plan Development and Deployment 68TA Fireground Strategies: Command, Control, and Accountability 69TA Implementing a Successful Training Program 70TA Leadership Development: Leadership in the Real World 71TA Leadership So Everyone Goes Home 72TA Managing Rescue and Disaster Operations 73TA Modern Fire Dynamics from Concepts to Reality 74TA Pride and Ownership: The Love for the Job 75TA Reading Buildings: The Rapid Street Approach 76TA Tactical & Strategic Perspectives of Residential Fires: Command & Fire Attack 77TA The Role of the EMS Provider in the Large-Scale Incidents 78TA Volunteer & Combination Fire Department Managers Academy

Tuesday, April 8, 2014 Hands-On Training

4-Hour Hands-On Training:Tuesday, April 8, 1:00 p.m.-5:00 p.m. . . . . . . . . . ($150) 1st 2nd 3rd 4th 5th

01TP Aerial and Tower Operations 02TP Conventional Forcible Entry 03TP Engine Company Essentials: Getting Water on the Fire! 04TP Flashover 05TP Heavy Vehicle Extrication 06TP Keeping Yourself Alive 07TP Man vs. Machinery 08TP Rescue and Squad Company Operations on the Fireground 09TP School Bus Extrication and Rescue 10TP Vehicle Extrication 11TP Vent-Enter-Search

4-Hour Pre-Conference Workshops:Tuesday, April 8, 1:30 p.m.-5:30 p.m. . . . . . . . . . . . . . . . . . . . . ($125) 1st 2nd 3rd 4th 5th

79TP Company Officer Development: Fireground Decision Making for Suburban Company Officers 80TP Drills You’re Not Going to Find in Books 81TP Extrication Zone - EMS Aspects 82TP Fire Officer Survival in Quarters and on the Scene 84TP Getting the Most from Your Incident Simulation Software 85TP Hazmat: Initial Approach and Actions 86TP High-Tech Highways: Responding to Hybrid and EV Incidents 87TP How to Nail Your First-Due Strategic Responsibility 88TP Keeping Your Firefighters from Getting Killed 89TP Leadership Development: Inspiring Leadership for Today’s Fire Service 90TP Modern Fire Attack Principles: Strategic & Tactical Perspectives 91TP Next Generation Tactics and Command 92TP No Brainer Management 93TP Specifying Fire Apparatus: Back to Basics 94TP Tactical and Strategic Perspectives of Residential Fires: Search and Ventilation 95TP Techniques and Strategies for Maintaining Mental/Psychological Preparedness 96TP The Art of Reading Smoke 2014 97TP What Do You See/Hear? What does It Mean?

Tuesday, April 8, 2014 Pre-Conference Workshops

www. fd ic .com

Attendee Name:

Phone:

Badge ID: 5

ConfeRenCes & eXhibits RegistRation foRm

PRomotionaL CoDe:

RegistRation fees (Please select only one of the following) Fully paid Fully paid on or before after 2/27/14 2/27/14

hands-on training Premium Package $550* $700* Includes all general sessions, classrooms & exhibits.

May register up to 16 hours of Hands-On Training and/or Pre-Conference Workshops Additional per class costs listed on Registration pp 3 & 4.

two-Day hands-on training & $200* $250* Pre-Conference Workshops only

Includes all general sessions. (DOES NOT INClUDE ClASSROOMS OR ExHIBITS.) May register up to 16 hours of Hands-On Training and/or Pre-Conference Workshops Additional per class costs listed on Registration pp 3 & 4.

fDiC blue Card simulation Lab and Conference $1,000 $1,000 Includes 3-day workshop, Monday – Wednesday, All general sessions, classrooms, &

exhibits. limited space available.

fDtn engine Company operations i $1,200 Includes 3-day Hands-On Training, Sunday - Tuesday, all general sessions, classrooms,

& exhibits. limited space available.

fDtn truck Company operations i $1,200 Includes 3-day Hands-On Training, Sunday - Tuesday, all general sessions, classrooms,

& exhibits. limited space available.

individual full Conference $550 $700 Includes all general sessions, classrooms & exhibits

one-Day Conference $325 $375 Includes general session and classrooms on selected day only & all three days of exhibits

Wed., April 10 Thurs., April 11 OR Fri., April 12

exhibit Package $75 $75 Includes exhibition only all exhibit days, Thurs. – Sat., April 10 – 12

one-Day exhibits only $40 $50 Includes exhibits on selected day only.

Thurs., April 10 Fri., April 11 OR Sat., April 12

spouse exhibits only $20 $25 Includes exhibition only all exhibit days, Thurs. – Sat., April 10 – 12

Name for Badge:

gRouP PLans

group Plan 10 (up to 10 members/employees) $4,950 (10% off the price of 10 individual full conference attendees)

group Plan 20 (11 to 20 members/employees) $9,350 (15% off the price of 20 individual full conference attendees) Larger Group Plans are Available (Contact Registration for Details)

* PRiCe Does not inCLuDe the Cost of inDiViDuaL hanDs-on tRaining CLasses/PRe-ConfeRenCe WoRkshoPs CLasses.

Registration fee $

hands-on training Class Price from Registration Pages 3 & 4 $

total Due $

PaymentAll Registration Fees must be paid in full prior to event for admittance.

Check payable to PennWell/FDIC14.

Signed purchase order with credit card guarantee. Please include credit card details below.

Charge my credit card: MasterCard Visa American Express Discover

Card number

Exp. date

Name on card

Signature

4 Ways to Register1. Online: www.fdic.com

2. Fax to: +1-888-299-8057 or +1-918-831-9161

3. Email: registration@pennwell.com

4. Mail to: PennWell/FDIC14 Registration Department P.O. Box 973059, Dallas, TX 75397-3059

Questions? Please call: +1-888-299-8016 or +1-918-831-9160

Cancellation Policy

Cancellations must be received in writing before February 27, 2014, in order to receive a refund, minus a $115 administrative charge. After February 27, 2014, refunds are not available. Substitutions may be made at any time by notifying the registration office in writing.

Fire Engineering Subscription

Your registration fee includes a 1-year print subscription to Fire Engineering magazine. Check here if you DO NOT wish to receive the subscription. You will not be refunded the $25.00 print subscription rate.

steP by steP Hands-on tRaining instRuCtions 1. Fully complete the registration form.2. Select Hands-On Training Premium Package or Hands-On

Training and Pre-Conference Workshops Only on page 5.3. Choose your classes on pages 3 & 4.4. Total the registration fees and the class fees on the

bottom of page 5.5. Payment is required to reserve H.O.T. classes.