2. 
4. Agency/ Organization*
5. Contact Person*
7. Email
8. Phone*
10. Tour or Program?*

    1. Tour
    2. Program
12. Event Coordinator

    (If different from Contact Person)

13. Phone

    (If different form Contact Person)

14. Email

    (If different from Contact Person)

16. Event Information
18. Event Name *
20. Event Type*

    1. Career Day
    2. Children's Festival
    3. Community Day
    4. Exercise

    1. Health Fair
    2. Open House
    3. Parade

    1. Senior Expo
    2. Sporting Event
    3. Other
22. Other

    Please specify other event type.

24. Event Flyer Upload

    If there is a flyer with additional details for event please include.

26. Venue Name

    (Additional Location Info)

28. Event Address*
30. City
31. State
32. Zip
34. Municipality*
    -- Select One --Adamsburg BoroughAllegheny TownshipArnold, City ofArona BoroughAvonmore BoroughBell TownshipBolivarCook TownshipDelmont BoroughDerry TownshipDerry BoroughDonegal BoroughDonegal TownshipEast Huntingdon TownshipEast Vandergrift BoroughExport BoroughFairfield TownshipGreensburg, City ofHempfield TownshipHunker BoroughHyde Park BoroughIrwin BoroughJeannette, City ofLatrobe, City ofLaurel Mountain BoroughLigonier BoroughLigonier TownshipLower Burrell, City ofLoyalhanna TownshipMadison BoroughManor BoroughMonessen, City of Mt. Pleasant BoroughMt. Pleasant TownshipMurrysville, Municipality of New AlexandriaNew FlorenceNew Kensington, City ofNew Stanton BoroughNorth Belle VernonNorth Huntingdon TownshipNorth Irwin BoroughOklahoma BoroughPenn BoroughPenn TownshipRostraver TownshipSalem TownshipScottdale TownshipSewardSewickley TownshipSmithtonSouth GreensburgSouth Huntingdon TownshipSouthwest GreensburgSt Clair TownshipSutersvilleTraffordUnity TownshipUpper Burrell TownshipVandergriftWashington TownshipWest LeechburgWest NewtonYoungstownYoungwood
36. Event Start: Date and Time*
    Event Start: Date and Time

    Event Start: Date and Time
37. Event End: Date and Time*
    Event End: Date and Time

    Event End: Date and Time
39. Event Rain Date
    Event Rain Date
41. Please check available resources at event:

    1. Wifi Connection
    2. Projector

    1. Table
    2. Chairs

    1. Restrooms
    2. Meals
43. Select items for display at this event

    (Please select all that apply)

    *Only if resources are available*

    1. Mobile Command Post
    2. Table Only Display
    3. HAZMAT Team Display
    4. No Display Needed
45. Will there will be a planning meeting for this event?

    1. Yes
    2. No
47. Additional Information

     All tour/program requests will be reviewed and accepted based on first come, first serve basis and staff availability. In the event there is an unforeseen emergency your tour may be rescheduled. 

    Tour Information:

    Secure Facility 

    Limited Parking

    20 maximum visitors.

    No food or cameras will be allowed in the building. 

    Please review weapons policy: https://www.co.westmoreland.pa.us/794/Weapons-Policy

Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

* indicates a required field