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Milwaukee Fire Department
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: * Career Opportunities and RecruitmentElder Safe ProgramEMS / Health and Wellness ProgramEmergency Action Preparedness ReviewFire Education Table / Health and Wellness FairFire Extinguisher Safety TrainingOccupational and Residential Fire Safety PresentationSchool Age Fire Prevention ProgramSurvive Alive House, Mobile UnitFire Apparatus DisplayYouth Firesetter InterventionHands Only CPR TrainingTour of Fire MuseumTour of Engine House
Location of Program: *
Expected Attendance:
Age Group of Participants:
Additional Information (please give us a short description of the event and what you would like presented)
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