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Junior Police Academy Application
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Wichita Falls Police Department Junior Citizen Police Academy Application
Which session are you applying for?
-- Select One --
1 - June
2 - July
Applicant's First Name
Applicant Cell Phone (if applicable)
Date of Birth (xx/xx/xxxx)
Parent/Guardian Home Phone
Parent/Guardian Work Phone
Parent/Guardian Cell Phone
Grade Next School Year
Reasons for wanting to attend the WFPD Junior Police Academy:
What are your expectations of the WFPD Junior Police Academy?
Have you ever been arrested, convicted, or given a ticket?
-- Select One --
If yes, please provide details:
List any allergies, including food, medications, or seasonal:
List any physical limitations and/or medical conditions that should be considered while you are engaged in any activities associated with the WFPD Jr. CPA:
Emergency Contact 1 (include full name, address, and phone number)
Emergency Contact 2 (include full name, address, and phone number)
Physician Phone #
Please review your application carefully and read the statement below before continuing
*****Priority will be given to kids who have not yet attended the Junior Police Academy*****
I/we hereby certify that all the above answers are true and correct to the best of my knowledge and there are no willful misrepresentations or omissions. I/We understand that any falsifications will be grounds for denying participation in or removal from the WFPD JPA. I/We understand that the goal of the WFPD JPA is to educate students only and not to train anyone to be a police officer. I/We understand the importance of attending the full session and abiding by the rules of behavior as outlined in this application. I/We understand that the Wichita Falls Police Deapartment will conduct a limited background check on the applicant. I/We will not hold the City of Wichita Falls, or any person or entity associated with the WFPD JPA liable for any injuries or accidents associated with the WFPD JPA.
Parent/Guardian, by checking this box you are agreeing to the above statement of terms and conditions
Parent/Guardian, enter your full name here to serve as your electronic signature
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