LHFD Fire Prevention Visit Request

LHFD Fire Prevention Visit Request
Thank you for your interest in a Long Hill Fire Department Fire Prevention Visit

Please note: Submission of this form does NOT confirm your appointment.

All requests are subject to volunteer availability. Our team will review your request and contact you to confirm or coordinate an alternate date. Please contact Sandra Trotta at strotta@longhillfd.com / (203) 261-3912 with questions.
Organization/School Name
Important Notice Because we are an all-volunteer fire department, our public education programs are limited to organizations located within the Long Hill Fire District in Trumbull. If your organization is located outside of the Long Hill Fire District, we sincerely apologize that we are unable to accommodate your request. We encourage you to contact your local fire department, as they may offer similar fire safety education programs and resources for your community. Thank you for your understanding and for your interest in promoting fire safety.
Contact Name

First NameLast Name
Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Contact Email
example@example.com
Type of Visit
If visiting a fire station, please choose the location below:
If you would like the fire department to come to your location, please provide the details below:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
First Choice Date and Earliest Start Time

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Second Choice Date and Earliest Start Time

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Third Choice Date and Earliest Start Time

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Program Details by Age Group

Under Age 2: We are unable to accommodate visits for this age group.

Ages 2–3: A brief visit (approximately 10 minutes) to meet firefighters and see a fire engine.

Ages 4–10: A 20-30 minute, age-appropriate fire prevention lesson and activity. If time and weather permit, participants may also view fire apparatus outside.

Younger children will receive coloring books to take home, encouraging continued fire safety discussions with their families.

Ages 10 & Up: In the note section at the bottom of this form, please indicate if there are any specific topics you would like covered for this age group.
Preferred Presentation Format

Choice 1 – Large Group / Assembly Presentation

Students participate in the fire prevention presentation together in a larger assembly-style setting. The presentation may be provided to the entire group at once or divided by grade level, depending on the size and needs of the school.

Following the presentation, classes or smaller groups can rotate outside to visit the fire engine and meet with firefighters.

This option may be a good choice for schools looking to minimize the amount of classroom instructional time used during the school day, while still giving students the opportunity to participate in the fire prevention program and see the fire apparatus.

Choice 2 – Small Group / Classroom-Style Presentation

Students participate in the fire prevention program in smaller groups of approximately 20 children at a time. Each group receives the presentation and then has an opportunity to visit the fire engine.

The smaller setting allows for a more personal and interactive experience, giving children more opportunity to ask individual questions and interact directly with the firefighters.

This option may require more time in the school schedule, particularly when multiple classes or grade levels are participating.

Which option is best?
There is no one-size-fits-all format. Schools are encouraged to make their selection based on the age and grade level of the students, number of participating students, available space, and the needs of the school schedule.

A larger assembly may work well when maximizing instructional time is a priority, while smaller groups may be preferable when more individual interaction and opportunities for student questions are desired.
Preferred Presentation Format
Location for the Indoor Presentation

Other
Approximately how many students can this space accommodate?
Approximately how many students will participate in the fire prevention program#
Please provide the approximate number of students in each grade:
Pre K   #
Kindergarten   #
First Grade   #
Second Grade   #
Third Grade   #
Fourth Grade #
Fifth Grade #
Fire Engine Location - Is there a safe, designated area where a fire engine can park for the student apparatus visit?
Please describe the preferred location and any arrival/parking instructions for the fire apparatus:
If there any accessibility, communication, sensory, mobility, or other accommodations that would help our firefighters make the presentation comfortable and accessible for participating students please describe them below:
Are there any special arrival, check-in, security, parking, or building-access procedures our crew should know about?
Should be Empty: