Program Request Form
Contact Person's Name: *
Organization:*
Address:*
Phone Number of Contact Person: *
E-mail of Contact Person: *
Date of Event: * Please use xx/xx/xxxx format
We require at least 3 weeks advance notice. Please do not submit a request if your event is less than 3 weeks away.
Time of Event (Please state starting and ending time):
Type of Program: *
Location of Program: * ex. Room # / Parking Lot / Intersection / etc.
Expected Attendance:
Age Group of Participants:
Additional Information (please give us a short description of the event and the resources you would like Milwaukee Fire Department to provide).