What would you like us to do?

Audience *

Children 0-5 Children 6-12 Youth 13-18 AdultsAgeing / SeniorsPeople with disabilityCulturally and linguistically diverseAboriginal or Torres Strait Islander

Activities *

Fire safety demonstrationFire safety talkFire protectionRecruitment talkFire truck display

Language

Estimated audience size *

Where do you need us?

Location name *

Street address *

Suburb *

Postcode *

Indoor / outdoor *

IndoorOutdoor

Location details i.e. parkingDo you have parking for a fire truck 10 m x 3m?

When do you need us there?

Date *

Time and duration *

Comments

Who can we contact?

Organisation and or event name *

Name *

Phone number *

Email Address *

Website

Any further information we need to know?Will TV/projector or PA system be available?

Your privacy

Your personal information will only be used for the purpose you are providing it in this form. Please read the privacy collection notice for more information about how we handle your information.

By checking this box, you agree to receieve email updates from Fire and Rescue NSW regarding eductional programs and fire safety programs.

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