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5. 

8. To best accommodate your request, please give at least two weeks notice prior to requested appearance date.

10. Note: Allen Fire Department does not attend block parties. If you seek an appearance for a block party, call Allen Police Community Relations Unit at 214.509.4359.

14. First and Last Name*
15. Phone Number*
19. Email Address*
20. Name of Organization
24. What type of visit are you requesting?*

    1. Station Tour
    2. Online Zoom Session
    3. Visit to my location
25. Please select which station(s) you would prefer to tour.

    1. Central Fire Station (310 Century Pkwy)
    2. Station 2 (1100 E. Exchange Pkwy)
    3. Station 3 (1021 E. Bethany Drive)
    4. Station 4 (615 Alma Drive)
    5. Station 5 (1950 W. McDermott Drive)
27. Your Location*

    1. Preschool
    2. Elementary School
    3. Middle School
    4. High School
    5. Business
    6. Special Event
31. Describe your event in detail:*
35. Age of Audience*

    Check all that apply

    1. Pre-K - Second Grade
    2. Third - Fifth Grade
    3. Sixth - Eighth Grade
    4. Ninth - 12th Grade
    5. Adult
    6. Senior
36. Estimated # of Children*
37. Estimated # of Adults*
41. Topic Request*

    1. Apparatus Display (Explanation of Fire Engines/Trucks)
    2. Bunker Gear Demonstration
    3. Career Chat
    4. Escape Planning
    5. Fire Extinguisher Training
    6. How/When to Call 911
    7. Senior Home Safety
    8. Other

45. Choose your preferred date and time. Please note: Most tours and displays require about 30 minutes.

47. Request Date and Time - First Choice*
    Request Date and Time - First Choice

    Request Date and Time - First Choice
49. Request Date and Time - Second Choice*
    Request Date and Time - Second Choice

    Request Date and Time - Second Choice
51. Request Date and Time - Third Choice*
    Request Date and Time - Third Choice

    Request Date and Time - Third Choice

55. Please allow at least 48 hours for a response to your inquiry. Questions may be directed to the Public Education Coordinator.

Leave This Blank:


57. 1. Receive an email copy of this form.
58. Email address

    This field is not part of the form submission.

59. Submit

* indicates a required field