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Police Department Event Request Form
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This form has been modified since it was saved. Please review all fields before submitting.
Event Name:
*
Event Website:
If applicable
Physical Address of the Event
*
City
*
State
Zip Code
Day of the Event:
*
Day of the Event:
Event Time Frame
*
Event Time Frame Start Time
—
Event Time Frame End Time
Please list desired arrival and anticipated departure times (include set-up, etc.)
Event Date is:
Flexible
To Be Determined
Please check, if applicable
Event Organizer
*
(Business or organization name)
Organizer Address
City
*
State
Zip Code
Phone Number
Primary Contact Name for Event
*
Email Address
*
Contact Cell Phone
*
Please briefly describe your event:
*
Type of Event
*
-- Select One --
Career Fair (for High School and Older)
School Visit
Fundraiser
Drug Prevention and Awareness
Gang Prevention and Awareness
Neighborhood Meeting
Other
Select the most applicable category for your event.
Other Category
If you selected "Other" under "Type of Event" please describe the kind of event here.
Approx. Number of Attendees
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