This
form is a request for Fire Prevention Classes to be held at your location
in the Bay Leaf Fire District or at one of our three stations. Please
fill out this form in its entirety and send it to us using one of
the following three options:
Option
1: Click SUBMIT at the bottom of this page to have it sent
to us via email. Option 2: Print out the form in Microsoft Word format
format and fax it to 847-3892. Option 3: Print out the form in Microsoft Word format
format and mail to:
Bay
Leaf Fire Dept. - Fire Prevention
Attn: Firefighter Jonathan Hans
11713 Six Forks Rd.
Raleigh, NC 27614
We ask
for several dates due to the possibility of scheduling constraints.
Please notify us at least 2 weeks before your first requested date.
If you have any questions about a class, this form, or if you are
not sure if we can conduct a class in your area, please call Firefighter
Jonathan Hans at 847-3858 Monday through Friday between 8 a.m. and 5
p.m. and leave a message, or send him email at fireprevention@bayleaffire.com
Name of Organization
Telephone
Contact Person
Contact Telephone Number
Location
- OR - Which one of our Fire Stations ?
What
type of Class are you Requesting ? Basic = The basic fire prevention class consists
of a tour of a fire truck, a firefighter in full protective gear,
exit drills in the home, smoke detector upkeep, dialing 911 and the
importance of knowing your address, matches and lighter safety, and
"stop, drop, and roll". Parade = Several subdivisions in our area have community
parades in which they ask us to participate. Fire Extinguisher = Children and adults have the
opportunity to fight fire. Students will watch a video and have a
small class about different types of extinguishers and how to use
them. Class size is limited to 15. Children 9 and up only. Tour = A showing of the equipment found on a fire
truck. First Responder = Discusses the importance of how
we help the community during EMS calls, i.e. what we carry and how
we use it. Call me -- I have a special request = Specialize
your own class.
Date and Time (please give three choices) :
About
how many children will be in the class?
About how many adults will be in the class?
What is the age group? (i.e. 3-4, kindergarten, etc.)
Comments:
