Milton Fire & Rescue Services Program and Training Request Form

Milton Fire & Rescue Services is pleased to offer educational opportunities to display our apparatus and equipment, talk about the role of a Fire Fighter, and provide Fire and Life Safety lessons.

Please provide us with your contact information and choose the type of educational opportunity you would like to book.

Personal information contained on this form is collected under the authority of the Fire Protection and Prevention Act, 1997 and will be used to respond to your request. Questions about this collection should be directed to Milton Fire & Rescue Services Administration,905-878-9251 x2803.

Contact Information

First Name:

Last Name

Email Address:

Phone number:

Street Address:

Town

Postal Code:

Does the supervisor of the visiting group have contact information that is different from the information entered above?

Yes

No

Group Information

Name of school, group or event

Number of Adults

Number of Children

Age groups of participants.

Preschool (5 and under)

Adult (18 - 64)

Children (6 - 12)

Older Adults (65 - 100)

Youth (13 - 17)

Please describe any added support and/or assistance (e.g. mobility, learning, etc.) that participants require.

Event Information

Requested Date

Choose the type of educational opportunity

Fire Truck Visit

Sparky the Mascot Visit

Firefighter Visit

Station, Apparatus and Equipment Tour

Fire Extinguisher Training

Fire Safety Training

Seniors' Smoke Alarm Training

The Role of a Firefighter Presentation

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Milton Fire & Rescue Services Program and Training Request Form

Contact Information

Group Information

Event Information