Fire Truck Appearance Request

Trucks may be scheduled starting Oct. 1, 2021.

First Name

Last Name

Phone Number

Name of Event

Date of Event

Fire trucks may be scheduled with a minimum of two weeks advanced notice.

Beginning Time of Event

End Time of Event

The fire truck can be requested for 60 minutes. What block of time is being requested?

Fire Truck Arrives

Fire Truck Departs

Address of Event

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Description of Event (Please include pertinent information and map/layout of the event, include where the fire truck will park).

Number of Children Attending Event

Number of Adults Attending Event

Safety Message/Lesson

Exit Plans

Fall Prevention

Water Safety

Kitchen Safety

Smoke Alarms

Basic First Aid

When to Call 9-1-1

Other

Other, please specify

Comments

I understand that the fire truck and crew may remain available to respond to calls during the event. The fire truck will need appropriate access to exit quickly.

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A Message From:

Mayor Kevin Hartke

Fire Truck Appearance Request