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2. 
3. REQUEST DEPUTY FOR A COMMUNITY EVENT / PRESENTATION
   York-Poquoson Sheriff's Office
5. Today's Date*
   Today's Date
7. First Name*
8. Last Name*
10. Organization/Company*
12. Address*
13. Address
15. City*
16. Zip*
17. State*
19. Contact Telephone*
20. Email Address*
22. Event Name*
23. Location/Site*
25. Date and Time of Event*
    Date and Time of Event Start Date

    Date and Time of Event Start Time

    —

    Date and Time of Event End Date

    Date and Time of Event End Time
26. Deputy Requested*

    1. DARE Officer
    2. Crime Prevention Office
    3. Both
28. Description *
    Briefly describe the event, what you would like the deputy to provide, ages, and number of attendees, etc.
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field