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2. Request Fire Station Visit / Fire Truck Visit Your Event
   To request a Fire Station Tour or have Fire Equipment visit your special event. Please allow one week advanced notice for a visit.
4. Contact Information
6. First Name*
7. Last Name*
9. Phone Number*
11. email*
13. Visitation Request Information
15. Date and Time of Visit*
    Date and Time of Visit

    Date and Time of Visit
17. What type of visit?*

    1. Fire Station Tour
    2. Have Fire Equipment visit your special event
18. Which Fire Station? (if requesting Fire Station Tour)
    -- Select One --Station #1 (City Lake Park) - 410 S. Galloway AvenueStation #2 (Vanston) - 4609 Sarazen DriveStation #3 (Town East and US Hwy 80E) - 3838 Forney RoadStation #4 (Rodeo) - 816 Rodeo Center Blvd.Station #5 (Galloway and US Hwy 80E) - 2141 N. Galloway AvenueStation #6 (Palos Verdes) - 1010 Barnes BridgeStation #7 (Creek Crossing) - 1850 Clay Mathis Road
20. Name of Location (if requesting Fire Equipment to visit your special event)
22. Address
24. City
26. Description of Event*
28. What age and how many youth are attending?
30. Age < 5?*
    -- Select One --012345678910>10
31. Age 5 - 8?*
    -- Select One --012345678910>10
32. Age 9 - 12?*
    -- Select One --012345678910>10
33. Age 13 - 18?*
    -- Select One --012345678910>10
35. How many age < 5?
36. How many age 5 - 8?
37. How many age 9 - 12?
38. How many age 13 - 18?
40. I agree:*

    1. This is a Request and is not a guarantee of the date/time selected. An email will be sent to you confirming your event request. Please allow two business days for a response. Thank you.
Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field