Fire and Life Safety Presentation Form

Name of Event

Event Location:

Date of Event *

Time of Event *

Type of Event Career Day
CPR Class
Fire Extinguisher Training
Fire Station Visit
Firefighter & Truck Appearance
Remembering When Presentation
Slips, Trips, and Falls Safety Presentation
Smoke Alarm Safety Presentation
Set Up a Table

Do you want a visit from "Marshal" at your event? Yes
No

Name of Requester *

Contact Name for the Event *

Contact Phone Number *

Contact Email *

How many people will be attending? *

Notes