Community Policing / Presentation Request

2. Guidelines
   All requests must be made at least 14 days in advance. The event must be free of charge, and not political in nature. All requests are handled on a first-come, first-served basis. In the event that emergency arises during the time your event is scheduled, we may be forced to cancel our participation without notice.

   All requests must be made at least 14 days in advance. The event must be free of charge, and not political in nature. All requests are handled on a first-come, first-served basis. In the event that emergency arises during the time your event is scheduled, we may be forced to cancel our participation without notice.

4. Organization Name

6. Description of Organization

8. Address1

10. Address2

12. City

13. State

14. Zip

16. First Name of Requestor

17. Last Name of Requestor

19. Requestor Phone Number

20. Requestor Email

22. Event Details

24. Date and Time of Event
    Date and Time of Event

    Date and Time of Event

25. Expected Number of Attendees

26. Topic

Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field