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City of Lincoln Fire Department

126 Joiner Parkway ♦ Lincoln, CA 95648 ♦ (916) 645-4040 ♦ Fax (916) 645-8940

Station Tour/Educational Presentation Application

Name:

Phone Number:

Email Address:

Organization/ Group Name/ or Individual:

Number of Participants (estimate):

Age Range of Participants:

Type of Request (check one):

Station Tour (Specify 33,34,35)

Fire Safety / Educational Presentation

Preferred Date:

Preferred Time:

Alternate Date/Time (optional):

Please list any accommodations, topics of interest, or additional requests: