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2. Name*
3. School or Organization Name*
5. Address*
7. Email Address*
8. Phone Number*
10. Presentation Date*
    Presentation Date
11. Number of Participants*
12. How many presentations are you requesting?*

    Presentations are 45 minutes. Please schedule one presentation per class. 

14. Presentation Schedule:*

    Please allow five minutes between presentations. Example: 8 AM - 8:45 AM (Class 1), 8:50 AM - 9:20 AM (Class 2), etc.

    If you are requesting the 9-1-1 Mobile Classroom for a community event please enter the event start and end times in this field. 

16. Disclaimer

    The El Paso-Teller County Enhanced 911 Authority will make every attempt to attend an event that has been approved through the reservation process. However, an event may be cancelled with little to no notice in the event of inclement weather, mechanical problems, or staffing priorities because of an emergency.

    1. I agree to terms and conditions outlined in above statement.

    1. I do not agree to terms and conditions outlined in the above statement.
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18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

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