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2. Instructions
   Use this form to request free active shooter preparedness training for your business or organization in the City of Fitchburg.
4. Scheduling
   While we will make every attempt to accommodate your requested dates for training our ability to fulfill these requests is dependent upon instructor availability.
6. Your Name*
8. Phone Number *
9. E-Mail*
11. Business/Organization Name*
13. Street Address
15. City
17. Type of Business/Organization*
    -- Select One --BusinessCommunity OrganizationSchool
18. Business/Organization Environment
    -- Select One --OfficeFactory/IndustrialRetailDaycareClinicOpenOther

    Select one of the following that best describes your workplace/organization environment
20. Estimated Number of Attendees
22. Preferred Date
    Preferred Date
    Select your preferred date for your training
23. Secondary Date
    Secondary Date
    Select a second date if your preferred date would be unavailable
24. Time
    Time
    Select the time you would like the session to begin. Plan on at least one hour for training. The length of the session can be customized for your needs and availability.
Leave This Blank:


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

    This field is not part of the form submission.

28. Submit

* indicates a required field