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4. Contact Name:*
5. E-Mail:*
7. Primary Phone #:*
8. Secondary Phone #:
10. Block Party Location:*
11. Block Party Hours:*
13. Primary Date & Time:*
    Primary Date & Time:

    Primary Date & Time:
14. Rain Date & Time:
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    Rain Date & Time:
16. Comments / Special Requests:

18. We will make a short presentation showing some of the equipment that is carried on the apparatus, explaining the functions of the fire department, and answering any questions you may have. Parents will be allowed to take pictures of their children with the fire apparatus; however, we ask that you explain to the children that they will not be allowed to climb on the fire apparatus; the apparatus is in full service at all times and may have to respond quickly in the event of a fire call.

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