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2. Request an Officer:
   If you need an officer to attend your event, please complete this form in its entirety. Please allow one week for a response, to confirm who will be attending the event. If you need a quicker response, please call 704.464.5400. If this is an emergency, please call 911.
4. Your Name*
5. Email Address*
7. Your Address*
9. City
10. State
11. Zip Code
13. Phone Number
14. Cell Number*
16. Event Information:
18. Type of Event*
    -- Select One --Tour of Police Department Child Safety ProgramTeen Safety ProgramTeen Drivers ProgramAdult SafetySenior SafetyCommunity Watch Start - up MeetingCommunity Watch MeetingC.R.A.S.E. (Active Shooter Training)C.P.T.E.D. Survey (Building Security)National Night Out - Community EventTouch a Truck EventChild ID EventOther Community Event
19. Sub Type of Event*
    -- Select One --Tour of Police Department Children Age 0-5Children Age 6-10Escape School - Child Abduction ProgramInternet or Cyber SafetyFraud Prevention and RecoveryHoliday Safety / Shopping TipsOther Topics
20. Type of Facility:*
    -- Select One --Tour of Police Department Residence Club HouseReligious Institution School (Public or Private) CollegePreschool or Day CareNeighborhood (public area)Business
22. Number of Participants:*
23. Other:
    Use this area to help describe what you need if it was not listed in the drop down boxes:
25. Event Location (Address):*
    For tours of the police department, please enter "PD".
27. City
28. Date / Time Officer is Needed: *
    Date / Time Officer is Needed:

    Date / Time Officer is Needed:
30. Alternate Date(s) and Time(s):*
    You can provide additional dates to choose from here:
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field