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3. 
5. Would you like the fire department to be part of your event? If so, please complete this form.
7. First Name*
8. Last Name*
10. Phone*
11. Email*
13. Event Date
    Event Date
14. Time you wish the Fire Department to be there*
    Time you wish the Fire Department to be there Start Time

    —

    Time you wish the Fire Department to be there End Time
    The truck and staff that attend your event are on-duty and may have to leave during an emergency. Due to this and the other obligations they have each day we limit the time frame to 1.5 hours.
16. Event Location*
18. City
19. State
20. Zip
22. Approximate number of children at event
23. Approximate number of adults at the event
25. Age range of children at event
27. Additional Information*
    What would you like the Fire Department to do at the event? Example: fire truck show-and-tell, fire safety talk, how to become a firefighter, etc
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29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field