2019 July 4th Parade Request Question Title * 1. Name of your Neighborhood Group or Homeowners Association: OK Question Title * 2. Address of your Neighborhood: OK Question Title * 3. Name of person requesting a fire engine or ambulance for your July 4 parade: Name Email Address Phone Number OK Question Title * 4. What is the date of your parade? July 4, 2019 If date is other than July 4, 2019 - type date in the "other" box Other (please specify) OK Question Title * 5. What is the start time for your parade? OK Question Title * 6. Please list the exact address of the parade starting location. OK Question Title * 7. Does your neighborhood group agree to post Fireworks Safety yard signs for 2 weeks prior to your parade? West Metro Fire Rescue will provide signs and stakes to your group. A member of your group will need to pick up the signs from West Metro Fire Rescue's Administrative Building 2-3 weeks prior to the parade date. Yes No Other (please specify) OK Question Title * 8. Yard signs may be picked up at West Metro Fire Rescue's Administrative Building (433 South Allison Parkway, Lakewood, CO 80226) during normal business hours Monday-Friday from 8:00 am - 4:30 pm. What day will you pick up the yard signs for your neighborhood? OK Question Title * 9. Does your neighborhood or Homeowner's Association publish an electronic newsletter? Yes No Other (please specify) OK Question Title * 10. If your group does publish a newsletter, are you willing to include Fireworks Safety information and/or a paragraph provided by West Metro Fire Rescue? Yes No Our group does not publish a newsletter Other (please specify) OK Question Title * 11. Does your group actively participate in Nextdoor.com? Yes No Other (please specify) OK Question Title * 12. Do you have any other ideas regarding how to discourage illegal fireworks in your neighborhood? OK Question Title * 13. Is your group willing to share photos and/or video of your July 4th parade or other related activities with West Metro Fire Rescue? Yes No Other (please specify) OK Thank you for completing this survey as part of your request to have West Metro Fire Rescue participate in your July 4th Parade. Someone from West Metro Fire Rescue will contact you within 3 working days regarding your request. OK DONE