Speaker/Program/Tour Request

2. Kennewick Police Department
   Speaker / Program / Tour Request

   Speaker / Program / Tour Request

4. Requests must be received at least fourteen (14) days prior to the scheduled date of the program

6. Name

7. Email Address

9. Address

11. City

12. State

13. Zip Code

15. Home Phone*

16. Cell Number

17. Work Phone

19. Organization Requesting Program

21. Requested Date for Appearance/Tour*

22. Requested Time*

    Please note requests between 3pm-8pm are difficult to fulfill due to increased call volume.

24. Event Address

    Must be in Kennewick without prior approval.

25. Time Alloted for Speaker*

    Presentations longer than 1 hour require prior approval

27. Describe the Type of Presentation/Program*

29. # Adults Expected*

30. # Children Expected*

32. Will there be any Expense to the Speaker?*

    1. Yes
    2. No

33. If Yes, please explain

35. Special Needs/Requests of Presenter

37. Status

    1. Approved
    2. Denied

38. Reason for Denial

40. Reviewed By:

41. Date
    Date

43. Squad/Unit Assigned

44. Officer(s) Assigned

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