2. Scheduling Your Presentation
   Presentations and resource events are scheduled on a first-submitted basis. Due to high demand, we suggest a minimum of four week’s notice prior to presentation’s date.
   
   All presentations and resource events must be within Maricopa County.
4. Date of Presentation*
   Date of Presentation
5. Time Requested*
   Time Requested
10. Contact Name*
11. Organization
13. Contact Phone Number*
14. Email Address*
18. Event Name
    (If applicable)
20. Street Address*
22. City*
23. State
24. Zip Code*
28. Request Type*
    -- Select One --Active ShooterAnimal Abuse InvestigationsBullyingConsumer Scams & Identity TheftChild SafetyDomestic ViolenceE-Cigarettes & VapingElder AbuseHome & Residential SafetyHuman TraffickingInternet (Cyber) SafetySituational AwarenessOpioid & Fentanyl AwarenessSuicide AwarenessTravel Safety
30. Audience Type*

    1. Family
    2. Students
    3. Parents
    4. Teachers
    5. Community
    6. Other
32. If other, please specify.
34. Approximate Size of Group*
36. Special Requests or Instructions
38. Please Note

    The information submitted in this contact form may constitute a public record as defined in A.R.S. § 41-151, and may be subject to inspection by or disclosure to third parties upon request for commercial or non-commercial use in accordance with A.R.S. § 39-121 et al.

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40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

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