38th Annual

Georgia Fire Safety Symposium

Monday - Friday
July 13 – 17, 2009
Georgia Public Safety Training Center
Forsyth, Ga.

“Georgia – Unified for Fire Prevention”

Sponsored by
John W. Oxendine
Insurance and Safety Fire Commissioner
Georgia Fire Academy
Georgia Fire Inspectors Association
Georgia Public Safety Educators Association
Georgia Public Safety Training Center
 2009 Georgia Fire Safety Symposium
“Georgia – Unified for Fire Prevention”
 
 

Day / Date Track 1 Track 2

MONDAY, JULY 13, 2009 Fire Safety Symposium Registration (Located in Front of the Auditorium)

7:00 a.m. – 8:30 a.m. Fire Safety Symposium Registration

(Located in Front of the Auditorium)
Refreshments (Sponsored by Georgia Firefighters Burn Foundation)

8:30 a.m. – 10:00 a.m. Opening Session: Opening Session:

Alan R. Shuman- State Fire Marshal

Color Guard – National Anthem

Keynote Speaker
John W. Oxendine
Insurance and Safety Fire Commissioner
Auditorium Auditorium
10:00 a.m. – 12:00 p.m. CROSS FIT ™
FIRE SERVICE FITNESS PROGRAM
General Session for All Attendees

Auditorium Auditorium
12:00 p.m. – 1:00 p.m. Lunch Lunch

1:00 p.m. – 2:00 p.m. Smoke Control - Choosing Appropriate Safe Kids
Design Fires and The Hidden Design Issues Injury Prevention
of Smoke Control Systems
Auditorium (C-200) Court Room

2:00 p.m. – 3:00 p.m. Smoke Control - Choosing Appropriate Safe Kids
Design Fires and The Hidden Design Issues Injury Prevention
of Smoke Control Systems

Auditorium (C-200) Court Room

3:00 p.m. – 4:00 p.m. Smoke Control - Choosing Appropriate Safe Kids
Design Fires and The Hidden Design Issues Injury Prevention
of Smoke Control Systems

Auditorium (C-200) Court Room

4:00 p.m. – 5:00 p.m. Smoke Control Systems - Testing Safe Kids
Inspections and System Reliability Injury Prevention

Auditorium (C-200) Court Room

5:00 p.m. – 6:00 p.m. Smoke Control Systems - Testing Georgia Fire Inspectors Association
Inspections and System Reliability Business Meeting

Auditorium (C-200) Court Room

 2009 Georgia Fire Safety Symposium
“Georgia – Unified for Fire Prevention”
 
 

Track 3 Track 4 Day / Date

Fire Safety Symposium Registration (Located in Front of the Auditorium) MONDAY, JULY 13

Fire Safety Symposium Registration 7:00 a.m. – 8:30 a.m.

Located in Front of the Auditorium
Refreshments (Sponsored by Georgia Firefighters Burn Foundation)

Opening Session: Opening Session: 8:30 a.m. – 10:00 p.m.

Alan R. Shuman- State Fire Marshal

Color Guard – National Anthem

Keynote Speaker
John W. Oxendine
Insurance and Safety Fire Commissioner
Auditorium Auditorium

CROSS FIT ™ 10:00 a.m. – 12:00 p.m.

FIRE SERVICE FITNESS PROGRAM
General Session for All Attendees

Auditorium Auditorium
Lunch Lunch 12:00 p.m. – 1:00 p.m.

Planning a Fire Safety Festival Pre-Engineered Kitchen Restaurant Local 1:00 p.m. – 2:00 p.m.
Fire Suppression Systems for the AHJ

C-108 Dorm 1
Planning a Fire Safety Festival Pre-Engineered Kitchen Restaurant Local 2:00 p.m. – 3:00 p.m.
Fire Suppression Systems for the AHJ

C-108 Dorm 1
Pre-Engineered Kitchen Restaurant Local 3:00 p.m. – 4:00 p.m.
Teaching Fire Safety to Senior Citizens Fire Suppression Systems for the AHJ

C-108 Dorm 1
Ask the Fire Marshal Pre-Engineered Kitchen Restaurant Local 4:00 p.m. – 5:00 p.m.
A Panel Discussion with State and Local Area Fire Suppression Systems for the AHJ
Fire Safety Educators

C-108 Dorm 1
Building Regional Coalitions Pre-Engineered Kitchen Restaurant Local 5:00 p.m. – 6:00 p.m.
Fire Suppression Systems for the AHJ

C-108 Dorm 1
Day / Date Track 1
TUESDAY, JULY 14, 2009 Late Registration Located in Front of the Auditorium
8:00 a.m. – 9:00 a.m. Combustible Dust -
Understanding the Potential
of the Hazards and Possible
Mitigation Solutions
Auditorium
9:00 a.m. – 10:00 a.m. Combustible Dust -
Understanding the Potential
of the Hazards and Possible
Mitigation Solutions
Auditorium
10:00 a.m. – 11:00 a.m. Combustible Dust -
Understanding the Potential
of the Hazards and Possible
Mitigation Solutions
Auditorium
11:00 a.m. – 12:00 p.m. Combustible Dust -
Understanding the Potential
of the Hazards and Possible
Mitigation Solutions
Auditorium
12:00 p.m. – 1:00 p.m. Lunch
1:00 p.m. – 2:00 p.m. Occupant Load Calculations
Reverse Engineering
This is Naught New Math
Auditorium
2:00 p.m. – 3:00 p.m. Fume Hoods
What You Wanted to Know
but… Were Afraid to Ask
Auditorium
3:00 p.m. – 3:30 p.m. Break
3:30 p.m. – 4:30 p.m.
Air Sampling Technologies
Auditorium
4:30 p.m. – 5:30 p.m.
Air Sampling Technologies
Exhibitor Setup
2:30 p.m. – 5:00 p.m. Auditorium
3:00 p.m. – Until Golf at Forsyth Country Club (Sponsored by Georgia Fire Inspectors Association)
Track 2
7:30 a.m. – 8:00 a.m.
Teaching to the Mentally
Challenged Program
(C-200) Court Room
Teaching to the Mentally
Challenged Program
(C-200) Court Room
Teaching to the Mentally
Challenged Program
(C-200) Court Room
Teaching to the Mentally
Challenged Program
(C-200) Court Room
Writing Your Own
Curriculum for Teaching to
the Mentally Challenged
(C-200) Court Room
Writing Your Own
Curriculum for Teaching to
the Mentally Challenged
(C-200) Court Room
Writing Your Own
Curriculum for Teaching to
the Mentally Challenged
(C-200) Court Room
Writing Your Own
Curriculum for Teaching to
the Mentally Challenged
(C-200) Court Room
Track 3
Alternative Fuel
Workshop
Fire Station 1-A
Alternative Fuel
Workshop
Fire Station 1-A
Alternative Fuel
Workshop
Fire Station 1-A
Alternative Fuel
Workshop
Fire Station 1-A
Lunch
Alternative Fuel
Workshop
Fire Station 1-A
Alternative Fuel
Workshop
Fire Station 1-A
Break
Alternative Fuel
Workshop
Fire Station 1-A
Alternative Fuel
Workshop
Fire Station 1-A
 Track 4 Track 5 Track 6 Day / Date
Late Registration Located in Front of the Auditorium 7:30 a.m. – 8:00 a.m. TUESDAY, JULY 14

Servicing Portable Fire 8:00 a.m. – 9:00 a.m.

Courage to be Safe Fire Prevention Devices in Extinguishers
Layman’s Terms Open to Industry Only

C-108 Chapel Dorm 1

Servicing Portable Fire 9:00 a.m. – 10:00 a.m.
Courage to be Safe Fire Prevention Devices in Extinguishers
Layman’s Terms Open to Industry Only

C-108 Dorm 1
Chapel
Servicing Portable Fire 10:00 a.m. – 11:00 a.m.
Courage to be Safe Fire Prevention Devices in Extinguishers
Layman’s Terms Open to Industry Only

C-108 Chapel Dorm 1

Servicing Portable Fire 11:00 a.m. – 12:00 p.m.
Courage to be Safe Fire Prevention Devices in Extinguishers
Layman’s Terms Open to Industry Only

C-108 Chapel Dorm 1

Lunch Lunch 12:00 p.m. – 1:00 p.m.

Fire is a Player... Gaining Access and Servicing Portable Fire 1:00 p.m. – 2:00 p.m.
Don't Crash the Party! Understanding Extinguishers
Georgia's Accessibility Open to Industry Only
Codes New vs. Existing

C-108 Chapel Dorm 1

Fire is a Player... Gaining Access and Servicing Portable Fire 2:00 p.m. – 3:00 p.m.
Don't Crash the Party! Understanding Extinguishers
Georgia's Accessibility Open to Industry Only
Codes New vs. Existing

C-108 Chapel Dorm 1

Break Servicing Fire Ext. Cont’d. 3:00 p.m. – 3:30 p.m.

Teaching with a Teaching Fire Safety to Servicing Portable Fire 3:30 p.m. – 4:30 p.m.
Fire Safety House Senior Citizens Extinguishers
Open to Industry Only

C-108 Chapel Dorm 1

Teaching with a Teaching Fire Safety to Servicing Portable Fire 4:30 p.m. – 5:30 p.m.
Fire Safety House Senior Citizens Extinguishers
Open to Industry Only
Exhibitor Setup
C-108 Chapel Dorm 1 2:30 p.m. – 5:00 p.m.
Golf at Forsyth Country Club (Sponsored by Georgia Fire Inspectors Association) 3:00 p.m. – Until
Day / Date Track 1 Track 2 Track 3
WEDNESDAY, JULY 15, 2009

7:00 a.m. – 3:30 p.m. Exhibitors ATRIUM

8:00 a.m. – 9:00 a.m. Stop, Drop and Control High Blood Pressure
A Firefighter & Community Health Program
General Session for All Attendees
Auditorium Auditorium
9:00 a.m. – 10:30 a.m. HASS House Residential Robots to Enrich Education Survivability of Critical
Fire Sprinkler Design Made Circuits
Easy

Auditorium (C-200) Court Room 219-C

10:30 a.m. – 11:00 a.m. Break/Exhibitor & Fire Safety House Viewing
Atrium Refreshments (Sponsored by Georgia Insurance Information Service)

11:00 a.m. – 12:00 p.m.

Fusion Centers
General Session for All Attendees

Auditorium Auditorium
12:00 p.m. – 1:00 p.m. Lunch/Exhibitor & Fire Safety House Viewing ATRIUM

1:00 p.m. – 2:00 p.m.

Federal Fire Caucus and The Federal Fire Grant
General Session for All Attendees
Auditorium Auditorium
2:00 p.m. – 3:00 p.m. Fire Act Grant Money, Its Many Uses and
How to Complete Grant Applications Successfully
General Session for All Attendees

Auditorium Auditorium
3:00 p.m. – 3:30 p.m. Break / Exhibitor & Fire Safety House Viewing ATRIUM

3:30 p.m. – 4:30 p.m. Fire Rated Insulation & Adding Technology to your Measuring Performance
Code Change Impact Presentation of Fire Alarm & Life
(Grease Duct Enclosures) Safety Systems

Auditorium (C-200) Court Room 219-C

4:30 p.m. – 5:30 p.m. Fire Rated Insulation & Adding Technology to your Measuring Performance
Code Change Impact Presentation of Fire Alarm & Life
(Grease Duct Enclosures) Safety Systems

Auditorium (C-200) Court Room 219-C

6:00 p.m. – 10:00 p.m. Social/Chicken & Fish Fry Cookout (Sponsored by Georgia Fire Sprinkler Association,
Fire Equipment Manufacturers' Association, Firefree Coatings, Inc., Georgia
Firefighters Burn Foundation, Society of Fire Protection Engineers, and Telgian
Corp.) Food Served (buffet style) from 6:00 p.m. to 7:30 p.m. Holiday Inn (Courtyard)
 Track 4 Track 5 Track 6 Day / Date
WEDNESDAY, JULY 15

Exhibitors ATRIUM 7:00 a.m. – 3:30 p.m.

Stop, Drop and Control High Blood Pressure Pre-Engineered Kitchen 8:00 a.m. – 9:00 a.m.
A Firefighter & Community Health Program Restaurant
Fire Suppression Systems
General Session for All Attendees (Open to Industry Only)
Auditorium Dorm 1
Chiefs Round Table about Mass Notification Pre-Engineered Kitchen 9:00 a.m. – 10:30 a.m.
Fire Safety What the NFPA Code Restaurant
Requirements Are Going to Fire Suppression Systems
Look Like Soon? (Open to Industry Only)

C-108 Chapel Dorm 1

Break/Exhibitor & Fire Safety House Viewing Atrium Pre-eng. Kitchen - cont’d 10:30 a.m. – 11:00 a.m.
Refreshments (Sponsor: GA Insurance Information Service)
Dorm 1
Pre-Engineered Kitchen 11:00 a.m. – 12:00 p.m.
Fusion Centers Restaurant
General Session for All Attendees Fire Suppression Systems
(Open to Industry Only)

Auditorium Auditorium Dorm 1

Pre-eng. Kitchen - cont’d
Lunch/Exhibitor & Fire Safety House Viewing ATRIUM Dorm 1 12:00 p.m. – 1:00 p.m.

Federal Fire Caucus and The Federal Fire Grant Pre-Engineered Kitchen 1:00 p.m. – 2:00 p.m.
General Session for All Attendees Restaurant Fire
Suppression Systems –
(Open to Industry Only)
Auditorium Dorm 1

Fire Act Grant Money, Its Many Uses and How to Pre-Engineered Kitchen 2:00 p.m. – 3:00 p.m.
Complete Grant Applications Successfully Restaurant
Fire Suppression Systems
General Session for All Attendees (Open to Industry Only)

Auditorium Dorm 1
Break / Exhibitor & Fire Safety House Viewing ATRIUM Pre-eng. Kitchen - cont’d 3:00 p.m. – 3:30 p.m.

Spray It Forward... Technology for Meeting the Pre-Engineered Kitchen 3:30 p.m. – 4:30 p.m.
Teaching Firefighters What NFPA Requirements for Restaurant
To Teach Monitoring Fire Alarm Fire Suppression Systems
Systems (Open to Industry Only)

C-108 Chapel Dorm 1

Spray It Forward... Technology for Meeting the Pre-Engineered Kitchen 4:30 p.m. – 5:30 p.m.
Teaching Firefighters What NFPA Requirements for Restaurant
To Teach Monitoring Fire Alarm Fire Suppression Systems
Systems (Open to Industry Only)

C-108 Chapel Dorm 1

Social/ Fish Fr & Chicken Cookout (Sponsored by Georgia Fire Sprinkler Association, Fire 6:00 p.m. – 10:00 p.m.
Equipment Manufacturers' Association, Firefree Coatings, Inc., Georgia Firefighters Burn
Foundation, Society of Fire Protection Engineers, and Telgian Corporation)
Food Served (buffet style) from 6:00 p.m. to 7:30 p.m. Holiday Inn (Courtyard)
Day / Date Track 1 Track 2 Track 3
THURSDAY, JULY 16, 2009

8:00 a.m. – 9:00 a.m. Occupancy Separation
Requirements of the
International Building Code
Incidental Areas & Special
Hazards
Clown Etiquette Rural Mitigation of the
Fire Problem and Urban
Issues

Auditorium (C-200) Court Room 219-C

9:00 a.m. – 10:00 a.m. Occupancy Separation
Requirements of the
International Building Code
Incidental Areas & Special
Hazards
Spanish for Fire Safety The Fire Problem Data
Instructor at the National and
State Level

Auditorium (C-200) Court Room 219-C

10:00 a.m. – 10:30 a.m. Exhibitor & Fire Safety House Viewing
Refreshments (Sponsored by Georgia Fire Inspectors Association) ATRIUM

10:30 a.m. – 12:00 p.m. Use of the UL Fire Spanish for Fire Safety Cooking and/or Fire
Resistance Directory Instructor Safe Cigarette
Information

Auditorium (C-200) Court Room 219-C

12:00 p.m. – 1:00 p.m. Lunch Lunch

1:00 p.m. – 2:00 p.m. NFPA 654 Summer Safety Town Fire Pump and
COMBUSTIBLE DUST Emergency Generator
Design, Inspection and Testing
Emergency Planning

Auditorium (C-200) Court Room 219-C

2:00 p.m. – 3:00 p.m. NFPA 654 Summer Safety Town Fire Pump and
COMBUSTIBLE DUST Emergency Generator
Design, Inspection and Testing
Emergency Planning

Auditorium (C-200) Court Room 219-C

3:00 p.m. – 3:30 p.m. Break Break

3:30 p.m. – 4:30 p.m. NFPA 654 FM Child Day Care for Fire Pump and
COMBUSTIBLE DUST Instructor Emergency Generator
Design, Inspection and Testing
Emergency Planning

Auditorium (C-200) Court Room 219-C

4:30 p.m. – 5:30 p.m. NFPA 654 FM Child Day Care for Fire Pump and
COMBUSTIBLE DUST Instructor Emergency Generator
Design, Inspection and Testing
Emergency Planning

Auditorium (C-200) Court Room 219-C

 Track 5 Track 6 Day / Date
THURSDAY, JULY 16

Pre-Engineered Industrial Fire Suppression 8:00 a.m. – 9:00 a.m.

Systems (Dry Chemical and Paint Booths)

Chapel Dorm 1
Pre-Engineered Industrial Fire Suppression 9:00 a.m. – 10:00 a.m.
Systems (Dry Chemical and Paint Booths)

Chapel Dorm 1
Exhibitor & Fire Safety House Viewing 10:00 a.m. – 10:30 a.m.
Refreshments (Sponsored by Georgia Fire Inspectors Association) ATRIUM

Medical Gas System Pre-Engineered Industrial Fire Suppression 10:30 a.m. – 12:00 p.m.
Systems (Dry Chemical and Paint Booths)

Chapel Dorm 1
Lunch Lunch 12:00 p.m. – 1:00 p.m.

New Free Resources from NFPA Including Pre-Engineered Industrial Fire Suppression 1:00 p.m. – 2:00 p.m.
Community Toolkits Systems (Dry Chemical and Paint Booths)

Chapel Dorm 1
Magic Pre-Engineered Industrial Fire Suppression 2:00 p.m. – 3:00 p.m.
Systems (Dry Chemical and Paint Booths)

Chapel Dorm 1
Break Break 3:00 p.m. – 3:30 p.m.

Ballooning Pre-Engineered Industrial Fire Suppression 3:30 p.m. – 4:30 p.m.

Systems (Dry Chemical and Paint Booths)

Chapel Dorm 1
Clown Make-up Pre-Engineered Industrial Fire Suppression 4:30 p.m. – 5:30 p.m.
Systems (Dry Chemical and Paint Booths)

Chapel Dorm 1
Day / Date Track 1 Track 2
FRIDAY, JULY 17, 2009

8:00 a.m. – 9:00 a.m. Elevator Phase I and Phase II Operations Power of Partnerships in Prevention
for the Fire Service

Auditorium (C-200) Court Room

9:00 a.m. – 10:00 p.m. Elevator Phase I and Phase II Operations Power of Partnerships in Prevention
for the Fire Service

Auditorium (C-200) Court Room

10:00 a.m. – 11:00 a.m. Elevator Lobby Requirements Georgia Public Safety
Educators Association – Meeting on
How to Teach on a Low to No Budget

Auditorium (C-200) Court Room

11:00 a.m. – 12:00 p.m. Elevator Lobby Protection Systems Georgia Public Safety
Educators Association – Evaluation
Meeting

Auditorium (C-200) Court Room

12:00 p.m. – Until Closing Remarks – Joint Session for all Attendees (Grand Prize Drawing) Auditorium

SIXTEENTH ANNUAL G.F.I.A. GOLF

TOURNAMENT
Tuesday, July 14, 2009
TEE TIME 3:00 pm (starts promptly)
Forsyth Country Club
$40.00/person (GFIA members)
$50.00/person (non-members)
(Includes golf cart)

MULLIGANS
$5.00 Per Person

FUND RAISER DRAWING

50/50

CONTACTS
James Crawley Lynn Benfield Howard Hansard Dawn Taylor

(404) 293-1177 (770) 241-1138 (678) 770-2533 (404) 656-0697

 Track 3 Track 4 Day / Date

FRIDAY, JULY 17

Pre-Engineered Industrial Fire Suppression Inspector Safety 8:00 a.m. – 9:00 a.m.
System Training for the AHJ
(Dry Chemical and Paint Booths)

Dorm 1 Chapel & FS-1A

Pre-Engineered Industrial Fire Suppression Inspector Safety 9:00 a.m. – 10:00 a.m.
System Training for the AHJ
(Dry Chemical and Paint Booths)

Dorm 1 Chapel & FS-1A

Pre-Engineered Industrial Fire Suppression 10:00 a.m. – 11:00 a.m.
System Training for the AHJ Inspector Safety
(Dry Chemical and Paint Booths)

Dorm 1 Chapel & FS-1A

Pre-Engineered Industrial Fire Suppression Inspector Safety 11:00 a.m. – 12:00 p.m.
System Training for the AHJ
(Dry Chemical and Paint Booths)

Dorm 1 Chapel & FS-1A

Closing Remarks – Joint Session for all Attendees (Grand Prize Drawing) Auditorium 12:00 p.m. – Until

SOCIAL
6:00 p.m.-10:00 p.m.
Wednesday, July 15, 2009
Holiday Inn
Fish & Chicken Dinner Cookout
(Food served from 6:00 p.m. to 7:30 p.m.)
Sponsored by
Georgia Fire Sprinkler Association, Georgia Firefighters Burn
Foundation, Fire Equipment Manufacturers' Association
Firefree Coatings, Inc., Society of Fire Protection Engineers, &
Telgian Corporation
 2009 Georgia Fire Safety Symposium
“Georgia – Unified for Fire Prevention”
Monday – Friday, July 13 – 17, 2009
Please submit fee and registration form to the address listed at the bottom of the page

Symposium registration fee: $98.00 per person Payable to: Georgia Fire Safety Symposium

Note: Without Authorized Signature your registration form will be returned

Authorized Signature (Chief or Supervisor): Date: / /

To pre-register and to guarantee the $98.00 registration fee, registration forms must be received by Friday, June 19, 2009. If the
registration form is sent without the fee, the registration fee must be paid before the Symposium or at the registration desk.
Main registration is 7:30 a.m. – 9:00 a.m., Monday, July 13 at front entrance of Conference Center.
NOTE: The registration fee will increase to $125.00 for individuals registering on site.

Lodging / Meals*
If eligible for lodging at GPSTC, please indicate if lodging at: GPSTC ____ Hotel at your expense ____ Commuting ____

For more information on dormitory lodging and eligibility requirements, please refer to the Georgia Public Safety Training Center’s
website www.gpstc.org or contact the GPSTC registration office at 478-993-4491.
* Meals are not provided unless they are listed on the Symposium schedule as a sponsored event.*
Local Area Hotels:
Holiday Inn (478) 994-5691 Holiday Inn Express (478) 994-9697 Best Western Hilltop Inn (478) 994-9260
Days Inn (478) 994-2900 Comfort Inn (478) 994-3400 Comfort Suites (478) 994-9494

PLEASE PRINT:

Name: SS#:

Title: DOB: / / Gender:

Agency: Agency#: Phone#:

Fax#: E-mail Address:

Agency Address: City/State/Zip:

Type of Agency (check one): Local/State Government _____ Federal Government _____ Private Citizen ______

Certification Type: Educator Inspector Investigator Firefighter ___ EMT/Paramedic ___ Law Enforcement ___ None ___

PLEASE MAIL OR FAX TO: Georgia Fire Safety Symposium

205 Jesse Hill Jr. Drive
Suite 260, East Tower
P. M. Box 347245
Atlanta, GA 30334
Fax: (404) 657-4465 Phone: (404) 656-0697
PLEASE SIGN AGREEMENT BELOW:
HOLD HARMLESS AGREEMENT
I hereby authorize the Georgia Public Safety Training Center to release my training records to agencies that have an official need for training
information. I further authorize the use of my name, agency/address and phone number on a class distribution roster.

In consideration of receiving permission to obtain training, aids, supplies equipment, materials, and services to support training programs designed for
state and local public safety agencies taught by the Georgia Public Safety Training Center, and being permitted and privileged to participate or assist
others in public safety training courses conducted by or through the Georgia Public Safety Training Center, the undersigned, himself, his heirs, his
representative and assigns, hereby

RELEASES, REMISES AND FOREVER DISCHARGES and agrees to save and hold harmless and indemnify the Georgia Public Safety Training
Center and its directors, instructors, all training agencies and related personnel, the Georgia Board of Public Safety, and the State of Georgia, of and
from all liability claims, demands, causes of action and possible claims whatsoever, arising out of or related to any loss, damage or injury that may be
sustained by persons or property, that may otherwise accrue to any of us or our respective heirs or representatives while in, on, en route to, from or out
of the Georgia Public Safety Training Center, or resulting directly or indirectly from any training received or offered by the Georgia Public Safety
Training Center, including but not limited to any driving courses or training at the Georgia Public Safety Training Center and at any and all state training
centers from any cause whatsoever including negligence of any of the foregoing releasees.

Student Signature: Date:

 2009 GEORGIA FIRE SAFETY SYMPOSIUM
EXHIBITOR REGISTRATION FORM
JULY 15-16, 2009
Exhibits are scheduled for 1 1/2 days to begin at 7:30 a.m. on Wednesday, July 15 and end at 12:00 p.m. on
Thursday, July 16. The fees for exhibit space are outlined below. This fee includes a minimum of one 30" x 72"
table, two chairs, exhibitor badges, and registration for one person to attend the conference. Any displays exceeding
this booth size will be charged for an additional booth. All signage must be provided by the exhibitor. Please
submit check made payable to Georgia Fire Safety Symposium by Friday, May 29, 2009.

Please complete this form and mail it to: Georgia Fire Safety Symposium
205 Jesse Hill Jr. Drive
Suite 260, East Tower
P. M. Box 347245
Atlanta, GA 30334
Phone: (404) 656-0697 Fax: (404) 657-4465
*****************************************************************************************

Company:

Contact Person: Title:

Address:

City: State: Zip:

Phone: Fax: E-Mail Address:

Exhibit Topic (brief description):

Booth Size: ______ Single (1 table) - $200.00 (Non-profit organizations’ fee is $30.00 in advance.)

______ Double (2 tables) - $300.00 (Non-profit organizations’ fee is $60.00 in advance.)

______ Apparatus outside conference bays - $150.00 (Non-profit organizations’ fee is $30.00
in advance.)

Special requests: (i.e., power outlet, if so how many? You are responsible for your extension cords.)

Do you have: Large free standing floor model display with backdrop
(If yes, please give dimensions: Width Height Depth)
Table top display with a backdrop

List all persons and titles who will be managing your exhibit as someone needs to attend your exhibit at all
scheduled exhibitor viewing times:

Are you shipping any items to the GPSTC? Yes __ No __ If yes, please list items and expected arrival
date:

Ship items to: Georgia Fire Safety Symposium, Attention: Ginny Sapp, 1000 Indian Springs Drive, Forsyth,
GA 31029-9599. Phone: (478) 993-4670 Fax: (478) 993-4671