E-Gov Services City of Maricopa

FIRE DEPARTMENT COMMUNITY OUTREACH

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PURPOSE. THE MARICOPA FIRE DEPARTMENT IS DEDICATED TO SERVING THE GENERAL POPULATION AND CITIZENS OF OUR COMMUNITY THROUGH INNOVATIVE EDUCATIONAL ACTIVITIES AND SERVICES. OUR DEPARTMENT PERSONNEL WILL ATTEMPT TO PROVIDE THIS SERVICE TO THE BEST OF OUR ABILITY WHILE KEEPING WITH AND EXCEEDING THE STANDARDS OF EXCELLENCE RELATED TO EMERGENCY SERVICES WE ARE SWORN TO PROVIDE.

IMPORTANT NOTES:

DATES, TIMES AND EVENTS ARE SUBJECT TO INTERUPTIONS OR NO SHOWS DUE TO EMERGENCY TRAFFIC, TRAINING OR RELATED ACTIVIITES. ALL EVENTS MUST BE SCHEDULED A MINIMUM OF 10 DAYS IN ADVANCE.

* Information is required.

Contact Information

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

* DATE OF REQUEST

* NAME OF THE INDIVIDUAL MAKING REQUEST

* CONTACT NAME(S)

* NAME OF BUSINESS OR ORGANIZATION REQUESTING EVENT

* PLEASE GIVE BRIEF DESCRIPTION OF THE GROUP AND/OR ANY SPECIAL NEEDS.

* DATE OF EVENT

* TIME OF EVENT

* LOCATION OF EVENT

* NUMBER OF PARTICIPANTS ATTENDING EVENTS-ADULT

* NUMBER OF PARTICIPANTS ATTENDING EVENTS-CHILD

* AGE GROUP ( NOTE: DUE TO SAFETY CONCERNS, NUMBER OF STATION TOUR PARTICIPANTS CANNOT EXCEED 25)

1 - 3

4 - 8

9 - 15

16 - 20

21+

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