Request Public Education Class

2. First Name*
3. Last Name*
5. Phone Number*
6. Email Address*
8. Address*
10. City*
11. State*
12. Zip Code*
16. Orgenaization Requesting the Class*
18. Public Education Requested*
    -- Select One --Fire Safety PresentationFire Extinguisher TrainingFire Station TourStop the BleedOther (please provide additional comments)
20. Preferred Class Date/Time*
22. Preferred Class Location
24. Address
26. City
27. State
28. Zip Code
30. Additional Comments
32. Notice

    Please allow 3-5 business days for RBFD to reach out to schedule your CPR class request. Scheduling is based on availability of crews, training schedules, and other department activities. 

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34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

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