Public Education/Safety Presentation Request

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Please correct the fields below:

Please correct the field(s) marked in red below:

Requester Information

*

Requester Information

Full Name

Organization

Address

Phoneext.

Email Address

Availability of Fire Personnel is reserved for Tuesdays and Thursdays between 9 AM and Noon. Please make sure that your requested date and time falls within that guideline.

Presentation Details

*

Presentation Details

Date 1

Time

Date 2

Time

Date 3

Time

Number of Guests (50 Max)

Time

*

Time

Age Range

Special Request

Special Request

I acknowledge that in the event of an emergency call for service, the West Sacramento Fire Department personnel giving the public appearance may have to stop the presentation in order to respond to calls for service.

*

Yes

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