Westport Fire Explorers
Community Service Request Form

The Westport Fire Explorers are proud to support local events that benefit the broader community through education, public safety, and civic engagement. This form is intended for outside organizations requesting Explorer assistance for events. Requests must meet the guidelines outlined below.

Part 1: Organization Information

Organization Name:

Non-Profit / Government Entity / School

Yes

(Note: Privately run or for-profit events are not eligible.)

Primary Contact Name:

Phone Number:

Organization Address:

Website or Social Media (if applicable):

Part 2: Event Information

Event Name:

Event Dates (s):

Start & End Time:

Event Location (Full Address):

Description of Event:

(Include purpose, expected attendance, and key activities)

Describe the role of Westpost Fire Explorers at this event:

(Example: crowd safety, public education boot, first aid standby, parking assistance, etc.)

Will Fire Department personnel or equipment be on-site?

Yes

If yes, please specify:

Part 3: Community Impact

How does this event directly benefit the Westport Community:

(Check all that apply and explain):

Explanation:

Note: Events that are primarily for commercial gain or private promotion (e.g., private parties, for-profit marketing, or vendor-exclusive fairs) do not qualify under the Fire Explorers’ community service mission.

Part 4: Liability & Acknowledgment

The requesting organization agrees to:

Ensure a safe environment for all Fire Explorers during participation.
Provide appropriate supervision and briefing as needed.
Acknowledge that Westport Fire Explorers are volunteers and not a substitute for emergency services.

Print Name

Date

Month

Day

Year