Outdoor Activity Emergency Contact Information

Event Information
Are you planning an outdoor activity? If so, please help the Lucas Fire Department keep you informed should weather or an emergency situation should occur. Please fill out the form below, so if needed we can contact you in the event of an emergency. This information will only be used to contact you if emergency situation should arise.
Name of Event: * Required
Number of Expected Attendees: * Required
Date Event Begins: * Required
MM slash DD slash YYYY
Start Time of Event: * Required

: Hours

Minutes

AM/PM AM/PM
Date Event Ends * Required
MM slash DD slash YYYY
End Time of Event: * Required

: Hours

Minutes

AM/PM AM/PM
Location Name: * Required

Please include the name of the location where the event is being held. Example: Lucas Community Park (by City Hall)
Address of Event: * Required
Contact Information
Please include the contact information of the person in-charge and at the event.
Name: * Required
First Last
Cell Phone Number: * Required
Email Address: * Required
CAPTCHA

Event Information