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Fire Prevention/Public Education/Community Interaction/Relations Request Form

  1. Kinston Department of Fire and Rescue Seal

  2. Kinston Department of Fire and Rescue

    P. O. Drawer 339, 401 E Vernon Avenue Kinston, North Carolina 28502 Office Phone: 252-939-3164 Fax Phone : 252-939-3157

  3. Fire Prevention/Public Education/Community Interaction/Relations Request Form

  4. Requester Information

  5. Information of Event Requested

  6. Number of Citizens Attending

  7. Static Truck Display

    Static Truck Display

  8. Classroom Visit

    Classroom Visit

  9. Community Interaction/Relations

    Community Interaction

  10. Community Service Assistance

    Community Service Assistance

  11. Is the Event Requested to take place at a different location other than the Kinston Department of Fire & Rescue?*

  12. If Yes was checked, please fill out the Address of the Event and select Requested Services from Out in Public Selections.

    If No was checked, please select the Fire Station Requested for the Event and select Requested Services from the Kinston Department of Fire & Rescue Selections.
    (Note: If Fire Safety Puppet Show, Meet Sparky the Fire Pup, or Meet the Fire Administration/Fire Chief are selected the Event must take place at Fire Station 1 [Headquarters]).

  13. Requested Services for Fire Companies out in the Public:

  14. Requested Services at the Kinston Department of Fire & Rescue:

  15. Puppet Shows

    Puppet Shows

  16. Fire Pup (Character)

    Fire Pup (Character)

  17. Fire Station Tours

    Fire Station Tours

  18. Sparky the Fire Pup (Robot)

    Sparky the Fire Pup (Robot)

  19. Leave This Blank:

  20. This field is not part of the form submission.