Incident Report Form
for LA County Fair Only
Which Day/Chapter Are You With?
*
Please Select
Friday 05/02 (South Bay)
Saturday 05/03 (San Gabriel Valley)
Sunday 05/04 (San Bernardino)
Thursday 05/08 (Long Beach)
Friday 05/09 (Long Beach)
Saturday 05/10 (San Gabriel Valley)
Sunday 05/11 (Mother's Day)
Thursday 05/15 (San Gabriel Valley)
Friday 05/16 (Mid-Cities)
Saturday 05/17 (Mid-Cities)
Sunday 05/18 (Mid-Cities)
Thursday 05/22 (San Fernando Valley)
Friday 05/23
Saturday 05/24 (Spanish)
Sunday 05/25
Monday 05/26 (Pasadena)
You, The CEF Fair Worker's Name
*
First Name
Last Name
Your Email
*
example@example.com
Your Phone #
*
Please enter a valid phone number.
Child's Name
*
First Name
Last Name
Parent's Email
*
example@example.com
Parent's Phone #
*
Please enter a valid phone number.
Child's Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Detailed description of the suspected incident or issue
*
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