Event Request

Would you like the Brockville Fire Department at attend your community event, school, organization or public gathering.

We welcome opportunities to connect with our community and share important fire safety information. Complete the form below to request the Brockville Fire Department’s participation at your upcoming event.

Event Request

Name

Organization

Address

Email Address

Primary Contact Phone Number

Requested Date of Presentaion

Prefered Start and End Time of Presentation

Prefered Type of Presentation

Topic of Presentation (ei. Fire Safety)

Audience (ei. Children)

Number of People Attending

Recomended Teaching Aids

Other Additional Information

1 + 10 =