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
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)
(18-59 years of age)
(60 years of age and up)
All ages


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