Community Risk Reduction Request Form

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Services limited to Oklahoma City residents.

Please fill out all areas of form to make a request. Requests require a two week notice for events occurring weekdays Mon-Fri 8:00a.m - 6:00p.m. Events after 6:00p.m. and weekends require a 30 day notice to ensure proper scheduling will be provided. *Required Field. (Spanish is available for all classes)

Please correct the fields below:

Please correct the field(s) marked in red below:

1

Name of Contact

*

First and Last Name

2

Contact Phone

*

Contact Phone

3

Contact E-mail

*

Contact E-mail

4

Address of Event

*

Address of Event

Street 1

Street 2

City

State

Zip Code

5

Select Program

*

Select Program

Hands Only CPR Training

STOP THE BLEED® Training

General Fire & Life Safety Education

Fire Extinguisher Training

Wildland Fire Prevention Education

Business Emergency Operations and Action Plans

Youth Fire Prevention and Intervention

Senior Adult Fire & Life Safety Education

Youth - Group Mentoring

To receive a copy of your submission, please fill out your email address below and submit.
Email Address

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Community Risk Reduction Request Form

Services limited to Oklahoma City residents.