Contact Information

Contact Information

Fire Prevention Division

Title

Fire prevention presentations

Sections

Fill out this form to request a fire prevention presentation for your group's meeting or special event.

You will be contacted within two business days of receiving your request to schedule a specific time for your appointment. 

 

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Fire prevention presentation
About your group
Participants
Select all that apply
About your event
Include a link to a web page, event page or online flyer, if available.
Address of event
Contact information
Name
Fire prevention topics
Acceptance of waiver
In consideration of your accepting this form submission, I state and affirm that participation in this program is voluntary. I understand that the program is not an essential service provided by the City; that certain risks are inherent and that these risks, anticipated or unanticipated, may result in injury or damage to persons and/or property. I hereby assume all risks in connection with the program; agree to hold the City or anyone acting on behalf of the City harmless and waive any right to make claims or bring lawsuits for any injuries or damages related to the alleged negligence of the City. This waiver does not apply to any injuries or damages that are a result of willful, wanton or intentional misconduct by the City or anyone acting on behalf of the City.

By clicking the 'agree' option and entering my name in the electronic signature field below, I acknowledge having read, understood, and agreed to the above waiver, release, and hold harmless agreement.

Agree / Disagree

Please take notice that any data received by the City as the result of submitting this form will be classified as government data pursuant to the Minnesota Government Data Practices Act, Minnesota Statutes Chapter 13. Under the Data Practices Act, some or all of this data is classified as public data, including your name, address, email address, phone number, and other personal information provided by you. Public data is available to anyone requesting it and consists of all data furnished via this Web form. Please be advised that the correspondence will be added to the public record. The purpose and intended use of the information collected through this form is to obtain public input and data in support of City activities and services. You have the right to refuse to submit this form. If you choose not to submit this form, you will need to contact the City by another means if you wish to provide the information collected by the form.

The City of Bloomington does not discriminate against or deny the benefits of its services, programs, or activities to a qualified person because of a disability. To make a request for a reasonable accommodation, ask for more information, or to file a complaint, contact the Community Outreach and Engagement Division, City of Bloomington, 1800 West Old Shakopee Road, Bloomington, MN 55431- 3027; 952-563-8733, MN Relay 711.