Request for Public Event

 

1

Name of Event:

Name of Event:

2

Name of requester

 *

Name of requester

3

Today's Date:

 *

Today's Date:

4

Requested Date for Event:

 *

Requested Date for Event:

5

Event location:

 *

Event location:

6

Number of people expected in attendance:

 *

Number of people expected in attendance:

7

Age Group:

 *

Age Group:

8

Best phone number to contact:

 *

Best phone number to contact:

9

Type of event requested:

 *

Type of event requested:

Smoke Alarm Install	Carbon Monoxide Install
Static Equipment Display	Sparky
Station Tour	Adult Fire Safety Class
Student/Young Adult Fire Safety Class	Career Day
Car Seat Installation	Other
Hands-Only CPR Class

10

Other or additional information:

Other or additional information:

Community Risk Reduction Division

5091 Santa Fe Dr.

Fayetteville, NC 28303-5537

910-433-1730 Office

www.fayettevillenc.gov 

 An Equal Opportunity Employer

Stand By Your Pan                        Smoke Alarms Save Lives! 

 

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