Hydrant Painting Registration Form

PAINT YOUR FIRE HYDRANT

Sign up to Paint your Fire Hydrant in Searcy Arkansas. You may begin to paint your Fire Hydrant as soon as you submit this form and agreements. Take videos and pictures of your process, groups, and finished project and put them on our Social Media Sites - Operation Rescue Children and Searcy City Departments. We will tour all registered and completed Fire Hydrants and Feature them in our News on June10 10, 2023.
Lead Painter/Group Name*

First NameLast NameGroup
Date you will Begin Painting*

MonthDayYear
Address*

Your/Group Street Address

Closest Street Address Nearest to Your Fire Hydrant

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Mobile Number*
Other Contact Phone Number
Work/Organization Number
Company/School/Organization
Safety Requirements and Agreement:

We want you and your group to have a great and safe time painting your Fire Hydrant. Here are the safety requirements we want you to please consider:
Please check every box to indicate you understand and agree*

1. Hydrants are close to roads and streets. Please supervise all participants to make sure they stay out of traffic. Please do not block traffic.2. Wear Masks and Eye Protection to prevent breathing paint fumes and debris.3. Wear highly visible clothing for others to see you and for protection from paint splatter.4. Be aware of COVID-19 risks in group settings and comply with state, local, and company regulations.
Painting Suggestion and Procedures:

Please adhere to these procedures to ensure you create a great Fire Hydrant Work of Art.
Please check every box to indicate you understand and agree*

1. Protect sidewalks and surrounding area by placing down ground covering.2. Clean the Hydrant with non-toxic solvents and also remove old peeling paint with wire brush or sand paper.3. Use only outdoor paints to ensure your art work lasts.4. Please remember to keep our Intention in Mind. Paint the hydrant in a child-like theme to help us Raise Awareness to end Child Trafficking. Use only pleasant and appropriate depictions.5. Make your Hydrant Visible. Help our Fire Fighters see your Hydrant easily from the Street.6. Please clean up after yourself. Do not leave litter, empty cans, paper or trash. Make our City Proud!7. Be Creative! Let your Artistic Side Shine! Look on our Facebook page for approved examples.
Additional Comments - Please let us know of any questions you may have.
Should be Empty:

PAINT YOUR FIRE HYDRANT

Safety Requirements and Agreement:

Painting Suggestion and Procedures: