2. Name of Event:
4. Location:
6. Date/Time
   Date/Time

   Date/Time
8. Number of Participants Expected:
10. Contact Person
11. Email Address
13. BRIEFLY DESCRIBE THE NEEDS/REQUEST FOR B.R.P.D. PARTICIPATION:

15. Feel free to contact the Community Services Division at 225-389-4801 or Brandy at blmeyers@brla.gov. Under normal circumstances, the Division asks for a 2 week prior notice for participation. *Please be advised, this Division does not handle road closures, traffic control, or security.* 

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17. 1. Receive an email copy of this form.
18. Email address

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