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2. Contact Name*
3. Contact Email Address*
5. Contact Phone Number*
7. Name of School/Business *
9. Address
11. City
12. State
13. Zip Code
15. Preferred Date*
    Preferred Date
16. 2nd Preferred Date*
    2nd Preferred Date

    2nd Preferred Date
18. Time *
    Time Start Time

    —

    Time End Time
20. Requesting Group Type*

    1. Individual
    2. Community Group
    3. Business
    4. Non-Profit
    5. Elementary School
    6. Middle School
    7. High School
    8. Other
22. Type of Request*

    1. Fire Safety Presentation
    2. Fire Engine Display
    3. General Education Booth
    4. Other
24. Description of Event *
26. Projected Number of Participants*
28. Additional Information
30. • Thank you for your submission! We will process your request as soon as possible on a first-come, first-served basis. Ideally, please submit your request two (2) to three (3) weeks prior to the requested event date. LFD participation is subject to department availability. As an emergency services department, please know that any approved request may be interrupted by emergency operations. 
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31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

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