Local Event/Activity Reporting Form

Montgomery County Fire & Rescue Service

Montgomery County, Maryland
Local Event/Activity Reporting Form
Your Information
Name*

First NameLast Name
Email*
Phone Number
Please enter a valid phone number.
LFRD*
Event/Activity Information
Start Date*

MonthDayYear
Date
End Date*

MonthDayYear
Date
Event Dates Difference
The event/activity end date is before the start date. Please check your responses.
Title of Event/Activity*
Location of Event/Activity*
Please write a short description of the event/activity you are reporting. Please include details like addresses, time, duration, units assigned, what the LFRD will be doing there, etc.*
What is the expected program for the event/activity? Please describe any speakers, non-speaking participants, and provide a timeline.*
Who is attending the event/activity? Please describe the audience and provide a list of attendees if you have one.*
How did the community request the LFRD's participation in the event/activity?*
Event/Activity Primary Contact's Name*

First NameLast Name
Event/Activity Primary Contact's Email*
Event/Activity Primary Contact's Phone Number
Please enter a valid phone number.
Should be Empty:

Montgomery County Fire & Rescue Service