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2. FIRE DEPARTMENT PUBLIC RELATIONS/PUBLIC EDUCATION REQUEST FORM

   Requested location of event must be within the City Limits of Tomball or within the boundaries of Harris County ESD #15.

   Due to the high volume of appearance request we receive, a minimum of 2 weeks prior to the requested event date is required. Additionally, please note there will be times that we many not be able to make your function or have to leave due to an emergency . Please note: (*) indicates required fields.  

   We will contact you within 2 business days of receiving this request to confirm the details. If you do not hear from someone within 2 business days, please email lsterle@tomballtx.gov or call 281-290-1060.

   
   

4. Event Information
6. Event Date and Start Time (must be two weeks in advance):*
   Event Date and Start Time (must be two weeks in advance): Start Date

   Event Date and Start Time (must be two weeks in advance): Start Time

   —

   Event Date and Start Time (must be two weeks in advance): End Date

   Event Date and Start Time (must be two weeks in advance): End Time
8. Group/Affiliation:
10. Age Group of Participants:*
11. Number of Children Attending*
12. Number of Adults Attending*
14. Address of Event:*
16. City*
17. State*
18. Zip*
20. Type of Public Relations Event:*

    1. Station Tour
    2. Public Appearance
    3. Fire Extinguisher Training (See Below)
22. Fire Extinguisher Training

    Plan for training to last approximately 1 1/2-2 hours.

    We try to put 2-4 people on an extinguisher. Please indicate below how many extinguishers you are providing and how many attendees.

    1. 1-5 Extinguishers
    2. 6-10 Extinguishers
    3. 0-10 Attendees
    4. 11-20 Attendees
    5. 21-30 Attendees
24. If a Station Tour Select Fire Station Requested

    1. Fire Station 1- 1200 Rudel Rd.
    2. Fire Station 2- 11725 Holderrieth Rd.
    3. Fire Station 4- 10333 Mahaffey Rd.
    4. Fire Station 5-19900 Telge Rd.
26. Group Contact Information:
28. First Name*
29. Last Name*
31. Email address:*
32. Phone Number*
34. Additional Event Information:
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit

* indicates a required field