[City of Sacramento] Event Participation Request

Requested By

Group Name

Phone Number

Cell Number

Will This Person Be at Event?

Yes

Phone Number

Cell Number

Station Tour

Community Event

School Visit

Event Address

Specific Room/Location: (Equipment MUST be positioned to easily respond to emergencies. Do not block equipment, entrances, or exits)

Specific Station/Equipment/Personnel Requested:

Table/chairs Provided?

Yes

Would you like to attach event flyer?

Yes

Upload Event related File(s)

Click Here to Upload

Requested Date

Alternate Date

(For equipment requests, choose a time between 9:00am and 12:00pm or between 1:30pm and 4:00pm)

Timeframe from

Timeframe to

Alternate Timeframe from

Alternate Timeframe to

Estimated Number of Children

Estimated Age Range

Estimated Number of Adults

If applicable, what information would you like to have presented?