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Speaker/Program/Tour Request

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Kennewick Police Department
Speaker / Program / Tour Request
Requests must be received at least fourteen (14) days prior to the scheduled date of the program
Name
Email Address
Address
City
State
Zip Code
Home Phone*
Cell Number
Work Phone
Organization Requesting Program
Requested Date for Appearance/Tour*
Requested Time*
Please note requests between 3pm-8pm are difficult to fulfill due to increased call volume.
Event Address
Must be in Kennewick without prior approval.
Time Alloted for Speaker*
Presentations longer than 1 hour require prior approval
Describe the Type of Presentation/Program*
# Adults Expected*
# Children Expected*
Will there be any Expense to the Speaker?*
1. Yes
2. No
If Yes, please explain
Special Needs/Requests of Presenter
Status
1. Approved
2. Denied
Reason for Denial
Reviewed By:
Date
Date
Squad/Unit Assigned
Officer(s) Assigned