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Public Education Request Form

Port Colborne Fire & Emergency Services is pleased to offer educational opportunities to display our fire safety inflatable house, apparatus, talk about our role as Fire Fighters, and provide Fire and Life Safety lessons.

In this form please provide your contact information, and choose the type of educational opportunity you would like to book.

Personal information on this form is collected under the authority of the Fire Protection and Prevention Act, 1997 and will be used to respond to your request. Questions about this collection should be directed to Port Colborne Fire and Emergency Services Administration 905-834-4512.

Contact Information

First Name

Last Name

Email Address

Phone Number

Group Information

Name of School, Group or Event

Number of Adults

Number of Children

Age Group of Participants

Preschool (5 and under)

Children (6 - 12)

Youth (13 - 17)

Adult (18 - 64)

Older Adults (65 - 100)

Support and Assistance

Event Information

Requested Date

Please choose a type of educational opportunity.

Fire Truck Visit

Inflatable Fire Safety House

Sparky the Mascot Visit

Fire Fighter Visit

Station, Apparatus and Equipment Tour

Fire Extinguisher Training

Fire Safety Training

Senior's Fire Safety Training

The Role of A Fire Fighter Presentation

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Public Education Request Form

Contact Information

Group Information

Event Information