Community Fair Request

Date:                            Time:

The date of your request is not confirmed until you receive an email/phone confirmation.

Organization:

Location:

Please check:     English    Spanish

                            Sitting    Standing

                            Access to Electricity        No Access to Electricity

Contact Name:

Contact Phone:

Check your interest: Please be aware that the availability of staff/volunteers is dependent on the fulfillment of your request.

CPR/First Aid      First Aid Talk                            Local Disaster Relief               Volunteers

Scrubby Bear       All Services/Programs                Pet First Aid                          Water Safety

Basic Safety         Whales Tales                             Disaster Action Team             Blood Services

Fundraising           Executive Director Request        Emergency Director Request  Clara Barton Society

Legacy Society     Heroes Campaign                      School Heroes Campaign       Stress

Ergonomics          Together We Prepare                Youth Volunteers                    International Services

Other,

Special Instructions or request:

Tell us how to get in touch with you: 

Name
E-mail
Tel
FAX
Please contact me as soon as possible regarding this matter.