Fire Public Education Request Form

Required fields are marked with asterisks (*)

Fire Public Prevention Request

Thank you for your interest in booking a public education session!

Fire prevention and public education saves lives. The Municipality conducts public education in schools and community groups, as well as residents and commercial property owners.

Requests must be submitted at least three weeks before the event date.

First Name

Last Name

Organization/ Affiliation

Street Number

Street Name

City/Town

Postal Code

Phone Number

Email Address (if any)

I am interested in booking...

Fire Station Tour

Fire Truck and Handouts

Fire Extinguisher Training

School Visit (Stop, Drop and Roll, Show Truck and Turnout Gear, etc)

Other

Learning Goal

Or, if any other type of event, please enter location

Age Range

Date Requested

Time Requested

Personal information on this form is collected under the legal authority of the Fire Protection and Prevention Act, 1997. This information is collected and maintained for the purposes of processing public education requests. Questions about this collection should be directed to the Clerk at 4305 Hamilton Road, Dorchester ON N0L 1G3 519-268-7334 or clerk@thamescentre.on.ca