Miami-Dade County Fire Rescue Department
 

Service Request Form

All requests require a two week advance notice.
 

Event Information
 

Type of Request


Proposed Date(s) of Event
Date 1
Date 2
Date 3

Proposed Time of Event
Time 1
Time 2
Time 3

Location of Event
Location
Address
City
Zip Code

Is this a Recurring Event?


Estimated Number of Participants
Est. Number

Age Range of Participants
(Please check all that apply)
Pre-School and Kindergarten
(3-5 years of age)
Elementary School
(6-10 years of age)
Middle School
(11-13 years of age)
High School
(14-18 years of age)
Adult
(18-59 years of age)
Senior
(60 years of age and up)
All ages


                   

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