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2. 
3. REQUEST DEPUTY FOR A COMMUNITY EVENT / PRESENTATION

   York-Poquoson Sheriff's Office

5. DO NOT USE THIS FORM TO HIRE AN OFF DUTY DEPUTY
7. Today's Date*
   Today's Date
9. First Name*
10. Last Name*
12. Organization/Company*
14. Address*
15. Address
17. City*
18. Zip*
19. State*
21. Contact Telephone*
22. Email Address*
24. Event Name*
25. Location/Site*
27. Date and Time of Event*
    Date and Time of Event Start Date

    Date and Time of Event Start Time

    —

    Date and Time of Event End Date

    Date and Time of Event End Time
28. Deputy Requested*

    1. DARE Officer
    2. Crime Prevention Office
    3. Both
30. Description *
    Briefly describe the event, what you would like the deputy to provide, ages, and number of attendees, etc.
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field