Subscription Application

Our annual subscription program covers the cost of all your emergency services

Northshire Rescue Squad Subscription Application

For a $175 fee, all expenses incurred for use of our emergency services, by you or any member of your household, will be covered - with no cost to you - from August 1, 2026 through July 31, 2027.

Please fill in all Principal Member information below.  If you have other household members, fill in a Name and Date of Birth for each in the Other Household Members section.  

After pressing SUBMIT AND PAY, you will be taken to a secure PayPal site for your payment information. Your subscription enrollment is not complete until you finish the payment process.

Principal Member

Other Household Members

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Control your cost

Emergencies happen

Support your community