2. Public Education Requests

   
   

   Bothell Fire offers a wide range of fire safety and education curriculum. Classes can be tailored to meet the specific needs of your audience. 

   Request a presentation for your group below.

   Public Education Requests

   Please provide at least 20 days of notice. Once submitted, there is a 7-10 day processing time before dates are confirmed. 

   Availability

   Requests will be fulfilled based on available resources; however, we may not be able to fulfill all requests.

   Age Limits

   Please note: kindergarten age (5 years old) or above is required for all requests.

4. Full Name:*
6. Email:*
8. Phone Number:*
10. Presentation Topic:*
    -- Select One --Home Fire SafetyBusiness Fire SafetyOlder Adult SafetyChild SafetyDisaster PreparednessOther

    *For school presentations, grades focus on specific safety topics. 

12. If you chose "Other", what topic would you like presented?
14. What is your goal for this presentation? What does your group hope to learn?
16. Group/Organization Name:*
18. Describe your Group:
20. Age Group or Grade Level:*
21. Number of Attendees:*
23. Desired Date:*
25. Second Choice Date:
27. Desired Time:*
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field