Emergency Preparedness Class Request

Use this form to request an Emergency Preparedness class.

Disaster events over the past several years have provided each and every one of us with the realities of large scale emergency response. From Katrina to Haiti the world has witnessed the fate of those who are unprepared to help themselves. It is now well documented and well understood that we cannot rely solely on others to meet our short and long term needs. We must take the steps necessary to prepare for the possible no matter how improbable.

If you want to prepare yourself and or your neighborhood for the disasters most likely to affect our area we can help. The Lenexa Fire Department has developed an hour long interactive presentation on family, neighborhood, and business preparation. The class includes preparation of a home disaster preparedness kit, utility familiarization, family preparation techniques, and much more.

Event Information

Group/Business Name

Program Location*

You must enter an event location.

Address Line 2

City*

You must enter an event city.

State*

You must enter an event state.

Zip Code*

You must enter an event zip code.

Location Notes

Event Date*

Requests must be submitted at least 14 days in advance.
Please note that dates in October are not available.

You cannot pick dates less than 14 days out or in October.

Event Start Time*

Please select a time after 8am.

You must specify a time after 8am.

Participant Information

Adults (65 and over)

Adults (18-64)

Youth (High School)

Youth (Jr. High School)

Youth (Elementary)

Youth (Kindergarten)

Youth (Preschool)

Contact Information

Contact Person*

You must enter a contact name.

Email*

You must enter a contact email.

Would you like an email copy of your request?

Primary Phone*

You must enter a primary contact phone.

Text Only

Any unavailable times?

Text Only

Any unavailable times?

Other Contacts or Notes

Preferred Method of Contact

I prefer to be contacted by email.

I prefer to be contacted by phone.

I prefer to be contacted by text message.

Additional Information

Activities Requested

Event Goals

Additional Comments

Submission of this form does not guarantee your selected date by the Lenexa Fire Department. It does not grant permission for use of the Department name or logo in any advertisement, or connect the Department in any manner to your request.

These are on-duty crews; the crew may need to leave on an emergency call at any time.

If you wish to mail your request, send it to:

If you would prefer to phone or fax in your request, contact: