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2. 
4. Event Name*
5. Event Location*
   -- Select One --Fontaine Fire StationRidge St Fire StationStation 1 (250 Bypass)
7. Date Requested*
   Date Requested
8. Start Time*
   Start Time
9. End Time*
   End Time
11. First and Last Name*
12. Email Address*
14. Phone Number*
16. Number of Attendees

    Please list the number of expected children or adults that will attend the event. If children, please list their ages below.

18. Number of Children
19. Number of Adults
20. Ages of Children
22. Purpose of Event*

    Please provide a brief reasoning for the purpose of your visit.

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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field