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2. The City of Durham Fire Department reserves the right to use any photograph/video taken at any organized or sponsored event, without the expressed written permission of those included within the photograph/video. The City of Durham may use the photograph/video in publications or other media material produced, used or contracted by The City of Durham/Durham Fire Department including, but not limited to: Facebook, Twitter, Instagram and Next Door. Also included are brochures, newspapers, magazines, presentations and websites.
4. Event Information
6. Fire Safety/Fire Prevention Programs*

   Please select the type of event from the list below. Requests should be placed at least 3 weeks before the event.

   1. Smoke or CO Alarm Installation
   2. Touch-A-Truck Event
   3. Fire Station Tour
   4. National Night Out
   5. Fire Prevention Week (October)
   6. Senior Group (Remembering When)
   7. Daycare or Classroom Visit

   1. Community Day Event or Parade
   2. Fire Extinguisher Training
   3. Fire Drill Observation (Businesses)
   4. Fire Safety House-For Schools Only-Requires 30 day notice*
   5. Recruitment or Career Day
   6. Deaf and Hard of Hearing Smoke Alarms
8. Name of Event*
   If your event doesn't have a specific name (like "Family Fun Day" or "East School Career Day") please enter the type of event that you selected above.
9. Desired Date & Time of Event*
   Desired Date & Time of Event

   Desired Date & Time of Event
   *Note: For the Fire Safety House, this date must be 30 days from today’s date.
11. Street Address of Event*
12. Zip Code*
14. Event Description*
    Describe your event and provide information about the attendees that will assist staff in preparing for the event.
15. Anticipated Number of Participants*
17. Contact Information
19. First Name*
20. Last Name*
22. Phone Number*
23. Email Address
25. Agency Name
26. Type of Agency

    1. Business
    2. Government
    3. School
    4. Social or Community Group
    5. Church
27. *Note*

    Please save or print out a copy of your completed form for your records. Note:  This submission is not a guarantee of acceptance. To check the status of your request, contact the Community Education Coordinator at (919) 560-4233 extension 19223. The Durham Fire Department reserves the right to use photographs on social media or other DFD publications.

Leave This Blank:


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

    This field is not part of the form submission.

31. Submit

* indicates a required field