Fire Education Program
MODEL T Vehicle Appearance Request Form
Requesting
Organization:___________________________________________________
Contact Name:__________________________________________________________
Contact Phone:________________________ E-mail:____________________________
Mailing Address:________________________________________________________
Event or Activity:________________________________________________________
Date:___________________________ Duration of Event:________________________
Time for Arrival__________________________ Departure_______________________
Model T will be utilized for: ___(A) Display ___(B) Parade/drive around ___(C)
Both
Do you need assistance arranging for ____Fire Engine ____Smokey Bear?
If for USFS activity, are you arranging transportation? _____ YES _____NO
Contact name for transportation, if different from Contact
above______________________
++++++++++++FOR INTERNAL FIRE ED PROGRAM USE ONLY+++++++++++++
Date Confirmed on Calendar___________ Costs, if applicable______________________
Trailer Driver confirmed - Name:_____________________________________________
Model T Driver Confirmed - Name:___________________________________________
Volunteer Staff confirmed - Names:___________________________________________
______________________________________________________________________
______________________________________________________________________
Post Event Comments:_____________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________