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2. ATTENTION

   Please note we are currently not able to accommodate tour requests or welcome guests to the Police Department for speaking engagements due to construction. We apologize for the inconvenience.

4. 
   
6. Date of program: *
8. Time:*
10. Organization/Function:*
12. Topic:*
14. Estimated length:*
16. Estimated attendance: *
18. Audience age group:*
20. Program location: *
22. Contact person:*
24. Phone number: *
26. 
    
28. The below information is for staff use only. Please do not fill out this form beyond this point.
30. 
    
32. Request received by:
34. Date:
36. Officer assigned:
38. Supervisor approval:
40. Confirmation made by:
42. Confirmation made on date:
44. Actual attendance:
46. Materials/equipment used:
48. Problems/suggestions:
Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit Submit and Print

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