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Name
Email
Phone
Fax
Group / Organization
Address
Only to a maximum of 25 participants. If require more sessions, please book for each group of 25.
Preschool* Learn not to burn program number of children ages 3-5
Children number of children ages 6-13
Group / Organization number of participants
General Public number of participants
Seniors number of participants
For a description of each program, please see the public education event information
Event - Select an event - Assisted Fire Drills Fire Station Tours Learn not to burn Seniors Safety Program Other (provide details below)
Other
Select up to 4 topics Electrical Safety Hazard House Kitchen Safety Home Escape Planning Smoke Alarms and CO Detectors Home Safety Checks Fire Extinguishers - Types and Training Truck Tours Fire Fighting Gear and tools
Select up to 4 topics Smoking Safety Space Heaters Kitchen Safety Smoke Alarms and CO Detectors Home Escape Planning Home Safety Checks Fall Prevention Electrical Safety Fire Extinguishers - Types and Training Hoarding
Fire Station Chinook Winds Station - 2525 Chinook Winds Dr SW Kings Heights Station - 2900 Kingsview BV SE
Enter Location
Must give at least 3 weeks advanced notice.
Requested Date
Time 10:00am 2:00pm 7:00pm
Alternate Date
Date
Signature I acknowledge that [by displaying/typing my name above], I am signing this application, and I agree to be bound as if I had endorsed this document with my own handwritten signature.
The information on this form is collected under the authority of Section 33(c) of the Freedom of Information and Protection of Privacy Act ("the Act") and will be used solely for purposes relating to the administration of the Airdrie Fire Department Public Education Program. It will be treated in accordance with the privacy protection provisions of Part 2 of the Act.Questions concerning collection of this information can be directed to Airdrie Fire Department at 400 Main St. SE, Airdrie, AB T4B 3C3 or at 403.948.8800.