DEPARTMENT OF PUBLIC SAFETY

OFFICE OF EMERGENCY PREPAREDNESS

Atlantic County OEP FAcility Request System

Application for Use of Center

***NO FOOD/DRINKS ALLOWED IN CLASSROOMS***

It is the responsibility of the Event Manager/Instructor to enforce no food or drinks in the classroom. They are also responsible for keeping their areas clean and return classroom(s) to standard set up at the completion of each day. The instructor will be held accountable for any damage.

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Requesting Person/Organization Information (Page 1 of 2) *Indicates a require field.
Organization/Department:	*
Address:	*
Line 2:
City:	*
State:	*
Zip:	*
Phone:	*
Fax:
Contact Person:	*
Title/Position:
Email Address:	*
Event Manager/Instructor: This person must be on site during the event/class and will be responsible for maintaining the House Rules. If this is the same person as the Contact Person above, just enter "Same".
Name:	*
Phone:

	Atlantic County Government DEPARTMENT OF PUBLIC SAFETY Office of Emergency Preparedness