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2. First Name
3. Last Name
5. Organization/Group Name
7. Organization/Group Address
9. Organizaton/Group Phone Number
11. Date and Time You Would Like Your Event
    Date and Time You Would Like Your Event

    Date and Time You Would Like Your Event
12. Number of Adults
13. Number of Children
14. Age Range of Children
16. Anyone with special needs?

    1. Yes
    2. No
17. If Yes, what special needs?
19. Item You Would Like To Schedule

    1. Police Station Tour
    2. K9 Demonstration
    3. SWAT Team Demonstration
    4. Mounted Unit
    5. Drug Awareness Speech
    6. Safety Awareness Speech
    7. Forensic Demonstration
    8. Home Owners/Neighborhood Association Talks
    9. Community Room Use
    10. Other (Please explain below)
21. Topics You Would Like To Cover
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23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

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