On-Site Class Request Form - James Island Fire Alliance, Inc.

James Island Fire Alliance, Inc.

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On-Site Class Request Form

Please complete the form so that we can better serve your on-site class needs.

Name *

First

Last

Name of Organization, School or Church *

Street Address *

City, State, Zip *

Phone Number *

-

-

Email *

Date Requested *

Hour(s) Requested *

Attendee Age Group *

Under 12 yrs old Teenager Adult Senior Citizen

Choose topics you would like covered. *

Home Inspection Escape Plans Chemistry Behind Smoke - How, Why it Kills Fire Extinguishers - Type and Use Smoke Detectors - Type and Installation Hazards by Room In Your Home Outdoor Hazards Cooking Hazards 911 Communication Firefighter Roles During a Structure Fire Communication with Your Local Fire Dept - When, Why and How

Other Topic Not Listed Above *

Describe any special considerations or other information that will help us customize your class. *