*Required information.

If you are planning an event, please use this form to request a representative(s) from the Elon Fire Department.
  • Please input the name of your organization.
  • Please provide the best contact number for you.
  • Please provide your email address.
  • MM slash DD slash YYYY
    Please provide the date of the event.
  • :
  • Please identify the type of event.
  • Please describe the topic you would like the speaker to focus on or the service you would like performed i.e. blood pressure checks, etc.
  • Please provide the location of the event.