Required fields are marked with asterisks (*)

Public Education Request

Severn Fire and Emergency Services is available to attend public events, lead educational trainings and offer school presentations. Complete this form and let us know how we can help educate the community about fire safety. We must receive all requests at least 15 days before the event.

Name

Phone number

Privacy statement

Information contained on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act. Information collected will be used and managed by the Township of Severn in accordance with the Municipal Freedom of Information and Protection of Privacy Act. If you require additional information, please view our Freedom of Information and Routine Disclosure Policy.

Please indicate that you've read and understand the above privacy statement.

Yes

Select the activity you'd like to request:

Presentation

Display and table

Sparky maskot

Speaker

Fire apparatus

Classroom program

Staff training

Event name

Event date

Start time

End time

Street address

Municipality

Province

Postal code

Country

Number of estimated adult attendees

Number of estimated children attendees

Please provide any additional information such as specific educational or training topics

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Public Education Request

Privacy statement

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