2. The Dayton Fire Department is committed to raising the standard of safety within our community by providing the finest in public education and community outreach available. Our goal is to save lives, promote good health, and reduce hazards through heightened awareness.
   
   To achieve this goal, DFD personnel and crews are able to attend public events throughout the community, however due to the nature of our duties we can only provide a total of two fire apparatus per day, one per event, on first come first serve basis, with time limited to a maximum of 90 minutes, or a designated fire prevention specialist.
   
   Additionally, the primary responsibility of the Dayton Fire Department is to mitigate emergency situations, and as a result, special appearances are subject to sudden departure or cancellation. If you are requesting a fire apparatus (engine or ladder) at your event, please ensure there is sufficient space to park the vehicle, with a clear lane of departure.
   
   Please Note: Fire Prevention will not be booking “Fire Safety Presentations” or “Fire House Tours” on any Friday – late May through Sept.
4. Event Contact
6. Name*
7. Email Address*
9. Phone Number*
13. IMPORTANT NOTICE*

    A minimum of two (2) weeks prior notice is required in order for the DFD to efficiently schedule presentations and appearances.
    Reminder: the presence of fire apparatus is limited to 90 minutes
    
    Our Fire Safety Presentations are tailored for specific age groups with consideration to time constraints and delivering an effective message. A fire prevention specialist can provide lectures on smoke and CO detectors, fire safety at home, school, and work, effective use of fire extinguishes, fire escape plans, EMS awareness, and a variety of subjects pertaining to services and duties of DFD.
    
    Attendants at an event by a fire apparatus is primarily for familiarization of the crews and equipment by the public, with emphasis on children becoming accustomed to seeing a firefighter in their firefighting gear. Due to safety considerations and the nature of our equipment, we cannot allow the public to enter or climb on the fire apparatus.
    
    

    1. I have read and acknowledge understanding these restrictions/limitations.
15. Event Details
17. Name of Event*
18. Date*
    Date
20. Time*
    Time Start Time

    —

    Time End Time

    Please choose the specific 90 minute window you wish for DFD personnel and crews to attend your event. Reminder: we cannot attend events for a duration longer than 90 minutes.

22. Expected Number of Participants*
23. Event Flier
    Please upload any flier that promotes the event, if applicable.
25. Service You Are Requesting:*

    Please choose which of the following you'd like the Fire Department to provide for this event.

    1. Fire Engine or Ladder Truck
    2. Fire Safety Presentation
    3. Firehouse Tour
    4. Fire Extinguisher Trainer
    5. Career Fair
    6. Community Paramedicine Team
    7. Dayton Senior Safe Program
    8. Public Education Event
27. Event Address / Location*
28. Event Zip Code*
30. Firehouse Tour Location*
    -- Select One --Company 2: 1009 East Third St., Dayton, OH 45402Company 8: 2636 Stanley Ave., Dayton, OH 45404Company 11: 145 Warren St., Dayton, OH 45402Company 12: 4236 Brandt Pk., Dayton OH, 45404Company 13: 1723 West Third St., Dayton OH, 45402 Company 14: 2213 North Main St., Dayton OH, 45405Company 15: 2801 Wayne Ave., Dayton OH, 45420Company 16: 4111 Kings Hwy., Dayton OH, 45406Company 18: 207 Smithville Rd., Dayton OH, 45431
32. Age Group*
    -- Select One --8 years and youngerGrade schoolJunior high schoolHigh schoolCollege studentsAdults: 18 years and olderMixedSeniors
34. In order to assist us in better serving you, please be specific in providing details of your event, or important details of which we should be aware. Please include the information below.
36. Additional Info
38. Please read carefully before submitting:
    When possible the Dayton Fire Department will gladly attend and participate in non-profit community events (i.e. festivals, health and safety fairs, summer camps, school presentations, etc.) where we may offer a public education component.
    
    The Dayton Fire Department cannot attend events which appear to utilize the DFD as a cause to support raising money, recruiting membership, or otherwise as an endorsement or marketing instrument, or where used solely for personal benefit. All information provided on this form is subject to verification.
    
    Submission of this application does not guarantee or confirm participation by the DFD. If we are able to attend your event you will be notified via email or phone. In the event of a scheduling conflict prohibiting the DFD from attending, you will be notified at the earliest possible time.
    
    This application is not to HIRE committed fire safety and / or medical safety personnel to provide emergency coverage of an event. Should you desire to hire a fire suppression or medical apparatus for your event for the safety of participants please call (937) 333 - 4500.
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40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field