2. REQUEST FOR USE OF FIRE TRAINING CENTER FACILITIES
   Form to request use of facilities at the Orange County Fire Training Center
4. Agency*
   Requesting Agency
5. First Name*
   Requestor
6. Last Name*
7. Phone*
9. E-Mail*
11. Event Date*

    1. Single
    2. Consecutive
12. Start & End Time*
    Start & End Time Start Time

    —

    Start & End Time End Time
13. Dates Needed*
    Dates Needed Start Date

    —

    Dates Needed End Date
    Date span may be used for consecutive dates only.
14. Date Needed*
    Date Needed
16. Classroom

    1. Classroom
17. # of attendees:*
18. Event / Class Title*
22. Outdoor Facilities Requested (mark all that apply):
    Note: Car Fire Prop, F/E Door Simulator & Live Burns require an OCFTC Instructor.
24. Burn Building

    1. Burn Building
25. Live Burn (Y/N)*

    1. Yes
    2. No
26. EMS:*
    EMS Agency for live burns.
28. Other Training Yard Facilities / Equipment

    1. Car Fire Area / Prop
    2. Drafting Pond
    3. F/E Door Simulator

    1. Hydrants
    2. Roof Simulators
    3. RR Tank Car

    1. SCBA / Maze
    2. Smoke Machine
    3. Tanker Trailer

    1. Taxpayer
    2. Tower
30. Additional Agencies
    Any additional agencies attending.
32. Special Requests
    Use this box for additional comments / requests.
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit Submit and Print

* indicates a required field