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Request an Officer

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.

   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