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* 1. Name of your Neighborhood Group or Homeowners Association:

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* 2. Address of your Neighborhood:

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* 3. Name of person requesting a fire engine or ambulance for your July 4 parade:

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* 4. What is the date of your parade?

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* 5. What is the start time for your parade?

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* 6. Please list the exact address of the parade starting location.

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* 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. 

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* 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?

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* 9. Does your neighborhood or Homeowner's Association publish an electronic newsletter?

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* 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?

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* 11. Does your group actively participate in Nextdoor.com?

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* 12. Do you have any other ideas regarding how to discourage illegal fireworks in your neighborhood?

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* 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?

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.

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