Fire Services Public Education Request Form *Please note that 2 weeks notice is required for any request* Type of Request * - please select one -Fire House TourFire Safety VisitOff Site Event Fire House Tour Details: Attendees will be taken through the truck bays and shown the fire trucks, ambulances, and equipment. Maximum of 30 attendees, including supervisors Required supervisor to child ratios: Ages 4 - 7 (1:4) Ages 8 - 12 (1:8) Tours are directed at: Kindergarten to Grade 6 Community Clubs and Groups Average age: # of kids: # of supervisors: Special considerations: Fire house tour date and time options Date and time option 1: Date and time option 2: Date and time option 3: Fire Safety Visit Details: A City of Leduc Fire Services member will attend your location to provide a presentation on one of the topics listed below. Safety visits are directed at: Kindergarten to grade 6 Community clubs and groups Adults and seniors Average age: # of supervisors: Total # of attendees: Educational topic: Emergency management Evacuation planning EMS topics Seniors fire safety Injury Prevention Fire Safety Visit Location: Fire safety visit date and time options Date and time option 1: Date and time option 2: Date and time option 3: Off Site Event Details: A fire apparatus will attend sometime during the event timeline Site events are directed at: Block parties Tournaments Fundraisers Note: Firefighters will NOT serve alcohol Attendance is not guaranteed, as operational requirements and emergency calls will take precedence at any event. Please provide a detailed explanation of your event below. Date of event: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202420252026 Start time: Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm End time: Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Event Address / Location Event Details Requests Contact information Group or Organization name: * Name: * Phone #: * Email: * Additional Comments: Leave this field blank Submit