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:


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

    This field is not part of the form submission.

48. Submit

* indicates a required field