Request Deputy For a Community Event / Presentation

2. 

3. REQUEST DEPUTY FOR A COMMUNITY EVENT / PRESENTATION
   York-Poquoson Sheriff's Office

   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