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Fire Safety House Request Form
Has the Fire Safety House been to your area before?
Organization sponsoring the FSH visit
Daytime phone number
(Please provide a phone number you can be reached at during daytime hours for any questions or updates we may have regarding your request.)
Cell phone number
(Please provide the cell phone number you can be reached at for the day of your event.)
If the sponsoring organization is not a fire department, with what fire department will you be partnering for this event?
(Partnership with a fire department is not required but is preferred.)
Please list any additional sponsors:
Type of Event
Type of training
Severe Weather Training
Name of school/event
We will keep the trailer in the same location for the entire event
We will need the trailer moved to multiple locations for our event
Projected number of children
Projected number of adults
How will the event impact/affect the children in your community?
Is your organization already a sponsor of the Fire Safety House Program?
If no, will your organization be able to consider a donation to the Fire Safety House Program?
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