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Welcome to the Buckeye, AZ, Service Line

Today is Saturday, November 21, 2009.
Public Event Request Form - Schools

Purpose. This form is used to communicate with city personnel to request services and request information.

* Information is required.

Contact Information

* First Name:
* Last Name:
* Business Name:
Email:
* Daytime Phone: ()  –
Fax: ()  –
* Address:
* City:
* State:
* ZIP:

* Name of Event
 
* Event Date
 
Type of Event
Station Tours
Function Stand By (EX. Football Game)
Fire Truck Tour
Special School Event
 
Other Type of Event
 
* Grade Level of Students
 
Expected Attendance
 
Time of Event (Start to Finish)
 
* Name of Contact Person
 
* Contact Phone Number
 
Contact Email Address
 
Special Concerns
Hazardous Materials
Multiple Gathering Areas
Hot Weather Months
Large Crowd
Multiple Cooking Areas
 
Other Special Concerns
 
Check here to have email confirmation of this request sent.

* Information is required.

Notes:

If you send us a message, you'll receive a Tracking Number allowing you to follow-up with your request, at your convenience.

Information we receive may be considered public information which is subject to disclosure under current state law. Learn more about our Privacy Policy.

Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.

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