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GWGVFD Fire Safety Reservation Request Form

This form may be submitted on-line, or printed out and mailed to: GWGVFD, 801 Russell Av., Gaithersburg, MD 20879.

Required   Indicates Required Field
Name of Event: Required
Name of Location: Required
Address 1: Required
Address 2:
City: Required
State: Required
Sponsoring Group: Required
Point of Contact (POC): Required
POC email: Required
POC Phone Number(s) - atleast one phone number is required
Work Phone:
Home Phone: Required
Cell Phone:
Event Date: Required
Time (Start to Finish) (CANNOT EXCEED 4 hours on site): Required
Expected number of children ages 4-12: Required
Special needs children: Yes
If yes, please comment:
Donations are very much appreciated. As a guideline, average donations by corporations is $250, and by schools $100. However, any donation amount is greatly appreciated. Please make checks out to the GWGVFD Fireman's Fund.

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Gaithersburg - Washington Grove Volunteer Fire Department
801 Russell Avenue
Gaithersburg, Maryland 20879
Emergency Dial 911
Non-Emergency Dial 311
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