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. 

 

You must be logged in to view this page.

Fire Prevention Presentation

About Your Group
Estimated Number of Participants
Please provide additional details regarding your participant number below:
Participants

Select all that apply:

Please tell us about any special or other needs of your participants:
About Your Event
Include a link to a web page, event page or online flyer, if available.
Event Address / Location
Contact Information
Name
Fire Safety & Prevention
Liability 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.

If you acknowledge having read, understood, and agreed to the above waiver, release, and hold harmless agreement, please perform the following:

  1. Select 'Agree'
  2. Enter your First and Last Name in the electronic signature field below.
Agree / Disagree
Terms and Conditions

You are required to understand, acknowledge, and agree to the following terms and conditions before submitting this request:

  1. I acknowledge Bloomington Fire cannot guarantee all requests will be granted.

  2. I acknowledge the public is not permitted to handle any equipment or enter any fire apparatus unless approved and supervised by Bloomington Fire personnel.

Acceptance
Next Steps
2 + 0 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

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.

Contact Information

Contact Information

Fire Prevention Division