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Fire Education Event Request

  1. Fire Safety/Fire Prevention Programs*

    Please select the type of event from the list below.

  2. If your event doesn't have a specific name (like "Family Fun Day" or "East School Career Day") please enter the type of event that you selected above.

  3. *Note: For the Fire Safety House, this date must be 30 days from today’s date.

  4. Describe your event and provide information about the attendees that will assist staff in preparing for the event.

  5. Type of Agency

  6. Please save or print out a copy of your completed form for your records. As a reminder, this submission is not a guarantee of acceptance. To check the status of your request, you may contact the Community Education Coordinator at (919) 560-4233 extension 19242.

  7. Leave This Blank:

  8. This field is not part of the form submission.