Explorer Event Request Form

Explorer Event Request Form
Event Name
Event Sponsor
Location of Event

Street Address

Street Address Line 2

City/ AreaState

Zip Code
Person(s) requesting

First NameLast Name
Phone Number

Area CodePhone Number
Date(s) of the event

MonthDayYear
2nd Date

MonthDayYear
3rd Date

MonthDayYear
Time(s) of the Event(s)

:HourMinutesAM/PM Option
Until
until :HourMinutesAM/PM Option
Describe event duties needed from the Explorers At this time, the Explorers are not allowed to handle any types of weapons, including but not limited to knives:
EX: Parking, Traffice Control, Set up/Take down, ect.
Notes or Comments:
Please note: The Placer County Sheriff's Explorers Post 901 is a non-profit organization, Tax ID #80-0841816. We do request a monetary donation for our services. Thank you.
Signature
Should be Empty: