Event Appearance Request Form
Name
*
First Name
Last Name
Email
*
example@example.com
Date of Event
-
Month
-
Day
Year
Date
Name of Event
*
Start Time of Event
Hour Minutes
AM
PM
AM/PM Option
End Time of Event
Hour Minutes
AM
PM
AM/PM Option
Requested Appearance Time
Hour Minutes
AM
PM
AM/PM Option
Duration of Appearance
*
Hours/Minutes
Tell us about your event:
*
Expected Attendance
*
What can CFD do for you at this event?
*
Please Select
Fire Safety Presentation
Fire Apparatus Visit
Both
Has Clackamas Fire attended this event in the past?
*
Yes
No
Not sure
Have other public agencies been invited or will be attending?
*
Yes
No
Not sure
If yes, who?
Event Coordinator/Contact Person
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Day of Event Contact Number
Please enter a valid phone number.
Name of Business
Address of Event
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
This form will be submitted to
Business Services - Community Services Division - (06/2022)
Should be Empty: