Name of Organization:*

Organizer Name:*

Contact Phone Number (123-456-7900):*

Contact Email:*

Number of Chaperones:*

Number of Participants:*

Age of Participants:*

Fire Hall Choice:*

First Date and Time Choice for Tour (MM/DD/YYYY, HH:MM):*

Second Date and Time Choice for Tour (MM/DD/YYYY, HH:MM):

Third Date and Time Choice for Tour (MM/DD/YYYY, HH:MM):

Special Requests:

Personal information is collected for the purpose of responding to your request. The City of Surrey is collecting this information under s.26(c) of the Freedom of Information and Protection of Privacy Act. For questions regarding the collection of personal information please contact the Manager of Marketing and Communications, 13450 104 Avenue, Surrey, BC V3T 1V8  |  604.591.4011