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Fire Department Meeting Request Form

2. First Name

3. Last Name

5. Address

7. City

8. State

9. Zip Code

11. Phone Number

12. Phone Number (Day of Event)

13. Email Address

15. Date Room Requested

17. Meeting Start Time

18. Meeting End Time

20. Description of Event

22. # of Adult Attendees (21 & Over)

23. # of Youth Attendees (under 21)

25. INSURANCE REQUIREMENTS - The City may require liability insurance for use of this facility. If determined so, the City will require insurance and proof of insurance in the form of a Certificate of Insurance naming the City of Snoqualmie as an additional insured. Insurance amounts for use of the premises will be for $1 million general liability coverage each occurrence and $2 million general aggregate. Organizations may have Commercial Liability Insurance or may obtain insurance from the Washington Cities Insurance Authority (WCIA) for certain events. The WCIA may be contacted at www.wciapool.org, phone (206) 575-6046 or Fax (206) 575-7426. The certificate must be submitted to us a minimum of seven (7) days prior to the event date.

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27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

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