Public Education Request Form

Clay Fire Territory offers a number of community services for citizens and students. To request more information, please complete the form below.

Please note: We require a minimum of 14 days’ notice for all community service requests.

Event times cannot exceed two hours.

This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Company Name

Address(Required)

Street Address City ZIP / Postal Code

Phone(Required)

Email(Required)

Event Details

Please note that we require a minimum of 14 days' notice for all community service requests. Each educational program request must be submitted on a separate form. Additionally, event times cannot exceed two hours.

Which program would you like to request?(Required)

The list of programs below is loosely organized by the age demographics they are designed for; however, many programs can be modified for any or all ages.

Length of Event

Clay Fire Member Request

Number of Attendees(Required)

Age Range of Attendees(Required)

Date of Event(Required)

Date of Event (Option #2)

Date of Event (Option #3)

Time of Event(Required)

Time of Event (Option #2)

Time of Event (Option #3)

Event Details(Required)

Description, Location, and Additional Information

CAPTCHA

Public Education Request Form

Event Details

Pages

The Services

Information

Address

Non-Emergency