Name*

Organization

Phone Number:*

Date:*

Start Time:*

End Time:*

Who is the target audience?*

Address of event*

What type of event is it?*

Do you have booths set up at the event?*

Yes No

Any specific message that you want the FD to focus on?*

Do you want the Fire Truck, Ambuance or Both?

None Fire Truck

Ambulance Both

L.A.F.S Clowns (Available for schools and community events only)

Yes

School or Community Event Name requesting L.A.F.S program:

Do you want us to show the equipment?

Yes

No

Requests:

Stickers Coloring Books

Pencils

How long do you expect the FD to be at the event?*

Comments.

Request subject to approval. You will be contacted once approved.