Event Request Form

Services Requested

EMS:**The form must be received a minimum of 14 days prior to the event.

EMS / Health Information

Hands Only CPR

Blood Pressure Screenings

Fire & Life Safety: **The form must be received a minimum of 14 days prior to the event.

Fire & Life Safety Information

Fire & Life Safety Presentation

Fire Truck / Engine

Career Fairs & Recruitment Events: **The form must be received a minimum of 14 days prior to the event.

Discussions & Presentations for Career Opportunities (Administrative, EMT, Paramedic, or EMT/Firefighter positions)

Date of Request: *

Month MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day Day12345678910111213141516171819202122232425262728293031

Year Year20222023202420252026

Event Information

Date of Event: *

Month MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day Day12345678910111213141516171819202122232425262728293031

Year Year20222023202420252026

Time of Event: *

Name of Event: *

Location of Event: *

Contact Information:

Contact Person Name: *

Telephone Number: *

Email:

Agency Name and Address:

Billing Address:

Estimated Number of Participants: *

Approximate age of participants: *

Any Other Relevant Information:

Leave this field blank

Submit

Baltimore City Fire Department