CategoryPublic SafetyComplete the Presentation Request Form with reference to our course descriptions, and the Emergency Management Office will be in contact with you upon receipt of the form. We will then discuss with you the type of presentation you require in more detail and tailor it to your needs. Name First Name Last Name contact details Name of organization Type of organization (i.e. school) Email Address City Telephone Telephone - Type -HomeOfficeCell Alternate phone Date requested Alternate date Time requested Alternate time Number of attendees Request for Personal emergency preparedness presentation Emergency preparedness for seniors/people with disabilities Emergency preparedness display booth Office display starter kit Type of audience Occupational health and safety committee ESL class Youth group (please specify ages below) Residents or neighbourhood groups Seniors group Other (please specify below) Enter other… If a Youth audience, please give ages If Other, please specify Comments Contact Information Alternate phone The City of New Westminster is committed to protecting your privacy. This information is collected by the City of New Westminster under Section 26(c) of the Freedom of Information and Protection of Privacy Act and will be used for the purpose of processing your presentation request. Should you have any questions about the collection of this personal information please contact the FOI and Privacy Coordinator, 511 Royal Avenue, New Westminster, V3L 1H9, privacy@newwestcity.ca.