Event Request Form

Event Request Form

Manhattan Fire Protection District -Manhattan and Peotone IL
Submitter Information
Name:

First NameLast Name
Email:
example@example.com
Phone Number
Please enter a valid phone number.
Event Information
Event Title:
Group/Organization:
Contact Person Day of Event:
Phone Number
Please enter a valid phone number.
Location of Event:
If requesting to use a fire station/crew:

Station 81- ManhattanStation 82- Wilton CenterStation 83- Peotone
Event Category:

Community Outreach/Public EventSporting EventBlock PartySchool/Educational VisitTouch a TruckParadeFire DrillScouts Meeting/EventStand-By CrewCar Seat EventCar Seat Installation AppointmentCPRFire Extinguisher TrainingSmoke Alarm InstalltionHome/Fall Safety InspectionOther
If other:
Estimated Attendance:
Number of Adults:
Number of Children:
Audience Age (Check all that apply):

Early ChildhoodSenior's (55 and older)PreschoolPeople with disabilitiesKindergarten -1st GradeAdultOther
Event Date:

MonthDayYear
Date
Event Start Time:

Hour Minutes

AM/PM Option
Setup/Arrival Time:

Hour Minutes

AM/PM Option
Event End Time:

Hour Minutes

AM/PM Option
Description of Event:
Special Request or Considerations: (Example: No lights or sirens)
*Disclaimer: For water requests at events, approval must first be given by the Village of Manhattan and Village of Peotone /Aqua.
Description of where the fire apparatus will set-up or stage:
Event Flyer:

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Upload Any Additional Information:

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Should be Empty:

Submitter Information