Fire Prevention & Safety House Request Application

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Lakes of the Four Seasons Volunteer Fire Force - 10645 Randolph - Crown Point, IN 46307- info@lofsfire.com

Contents

Member of

LCFCA

PCFA

Proudly Serving

Lakes of the Four Seasons

Winfield Township

Town of Winfield

West Porter Township Fire Protection District

Fire Prevention & Safety House Request Application

Name of Organization :

Contact Name: Title:

Address:

City: State Zip:

Email:

Phone: Alt Phone:

Health / Safety Fair Fire Station Senior Program

School Program County Fair Other:

Church Program Other Group Program Other:

Requested Date: Time: 30 min 60min 90min

Alternate Date:   Time: 30 min 60min 90min

Alternate Date:   Time: 30 min 60min 90min

Expected Attendance: Age / Grade Level (if applicable)

Site Requirements:
(1) Level paved surface area 30' X 60'
(2) FREE OF ANY HAZARDS
(3) 20 Amp Outlets within 75 feet

"LOFS FD/EMS reserves the right to cancel due to inclement weather."

Please call 219.662.7576 or email lofsfire@netnitco.net with any questions or concerns.

Please Print form and Mail to:
LOFS Fire Force
Attn: Fire Prevention Officer
10645 Randolph Street
Crown Point IN 46307

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Lakes of the Four Seasons Volunteer Fire Force
10645 Randolph
Crown Point, Indiana 46307
Phone: 662-7576
Fax: 662-7030