2. Fire Safety and Prevention Classes
   The Baton Rouge Fire Department has been delivering fire safety and prevention classes to the citizens of Baton Rouge for over 20 years. Due to the high percentage of children and elderly involved in fires in recent years, we have placed more emphasis on educating them on safety and prevention. Safety and prevention classes that are offered by the Baton Rouge Fire Department include:
4. For All Ages
   - Fire Drills
   - Fire Safety Classes
   - Fire Safety House
5. For Children
   - Patches the Fire Dog
   - Fire Station Tours
   - Fire Truck Visits
6. For Adults
   - Evacuation / Planning Classes
   - Fire Extinguisher Classes
8. Schedule
   To schedule any of the above classes, provide the following information in the form below and someone will contact you to confirm availability. If you prefer, you can contact the Fire Prevention Bureau at 225-354-1431.
10. Name*
11. Date of Request*
    Date of Request
13. Phone Number*
14. Email*
16. Requesting Organization*
17. Type of Event Being Conducted*
19. Location and Address*
21. Date & Time Visit Requested
23. Date and Time: 1st Choice*
    Date and Time: 1st Choice

    Date and Time: 1st Choice
24. Date and Time: 2nd Choice*
    Date and Time: 2nd Choice

    Date and Time: 2nd Choice
25. Date and Time: 3rd Choice*
    Date and Time: 3rd Choice

    Date and Time: 3rd Choice
27. Number of Students*
28. Ages*

    1. 2 to 5 years
    2. 6 to 10 years
    3. 11 to 18 years

    1. Adults
    2. Special Needs

    Check all that apply
30. Request a Class From the Drop Down List:*
    -- Select One --Evacuation and Planning ClassesFire DrillsFire Extinguisher ClassesFire Safety ClassFire Safety HouseFire Station ToursFire Truck VisitsPatches the Fire Dog
32. Will the display be indoors or outdoors?*

    1. Indoors

    1. Outdoors
33. The Class Will Be*

    1. Classroom
    2. Gymnasium

    1. Lunchroom
    2. Outdoors
37. I understand the Patches demonstration is for educational purposes only, and does not serve as an entertainment show during non-educational environments. *

    1. Yes
    2. No
39. I understand the robot or Fire Safety House will not be brought to venues when there is greater than a 40% chance of rain, it is actively raining at the location, or if it is raining at the Fire Department headquarters. *

    1. Yes
    2. No
    3. Not Applicable
41. I understand the individually assigned Inspectors schedule their own education classes and we will do our best to comply with your requested date and time, but may need to be adjusted to conform with prior scheduled events and unit availability.*

    1. Yes
    2. No
43. A Fire Inspector will contact you to confirm your date and time is available. Forms must be submitted at least 14 days prior to the date of request. Dates with less than 14 days will result in limited availability restrictions.
    
Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field