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2. Details

   To request a site visit, complete the site visit Request Form. Keep in mind that the location we are requested to visit should be a public place with easy exits in the event of an emergency. You can tell us the length of the entire event, but we may only be able to commit to one hour if we are sending an on-duty truck.

   Requests are reserved on a first come, first served basis and will require approval from the on-duty Battalion Chief before being scheduled. You will receive an email confirmation from Administration upon approval or a phone call if other arrangements need to be made.

4. Name*

   Please enter the first and last name of the person making a request. This should be the point of contact for the group requesting the site visit.

6. Name of Group/Organization*

   Organization hosting the event

8. Street Address*

   Enter your group meeting location, or location for your event - street address. This will be verified to determine your organization falls within our Fire Response District and if we can come to your event.

9. City*

   1. Leander
   2. Georgetown

   Select your residential city within the Leander Fire District. Call 528-2848 if you're unsure of your responding fire department.

11. Phone Number*
12. Email*

    Enter one email address used by the contact person for the confirmation to be sent to. For more than one contact please list them in the "other" section.

14. Event*

    Tell us what event we're coming out for.

16. Select Which Day*
    -- Select One --SundayMondayTuesdayWednesdayThursdayFridaySaturday

    Select your preferred day to visit the station.

18. Event Date
    Event Date

    Select your preferred date (with two week's advance notice).

19. Time Requested
    Time Requested Start Time

    —

    Time Requested End Time

    Select Time Range

21. Number of Adults (age 19 to 54)*
22. Number of Kids (age 0 to 18)*
23. Number of Senior Adults (age 55+)*
25. Options*

    1. None
    2. Fire Prevention Discussion
    3. Truck Tour or Crew Appearance
    4. Gear Demonstration
    5. First Aid Demonstration
    6. Career, Education or STEM talks with middle to high school age youth

    Choose items you'd like at your event.

27. Other Information

    Is there anything else we should know? Please note not all requests can have all options requested due to staffing, but we are happy to make the request for you.

Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field