Community Engagement Booking Request We collect personal information (e.g. email address details) to address your matter, and will only disclose it to third parties if authorised by law or with your consent. To find out further information, please refer to our privacy statement.A minimum of 4 weeks' notice is required for community engagement request.All fields marked with an * must be completed. Providing complete information helps us asses and process your request efficiently. Contact details Contact name Organisation (optional) Phone number Email address Email address Confirm email Preferred contact method Email Phone Engagement details Request type Information session School/child care visit Community event Other… Enter other… Please describe the request and how you would like QFD to participate. What safety messaging would you like included? Smoke alarms Home fire safety Bushfire safety Road safety Lithium-ion batteries Careers/recruitment Other… Enter other… Location details Location of event Address line 1 Address line 2 Suburb Post code Site requirements Safe location with hard standing suitable for a fire truck Safe and unobstructed access and exit for the vehicle in the event of an emergency Time and date Preferred date and time Preferred date and time: Date Preferred date and time: Time Alternative date and time Alternative date and time: Date Alternative date and time: Time Attendee information Approximate number of attendees Age 5 and under 6-11 12-17 18-34 35-54 55 or over Additional attendee details (optional) Statement of acknowledgement I acknowledge that QFD crews are operational firefighters and that operational commitments take priority. Visits may be cancelled, rescheduled, delayed or interrupted with little or no notice due to operational requirements. CAPTCHA CAPTCHA helps prevent bots from spamming or overloading our site. Submit request #f6a800
