Name of Group:______________________________________________________________
Address:_____________________________________________________________________
City:_____________________________ County:____________________________
State:__________ Zip Code:______________ Phone:_____________________________
Contact Person:______________________________________________________________
E-Mail:______________________________________________________________________
Type of Organization:_________________________________________________________
Number of Individuals Participating:___________________________________________
Interesting Facts About your Organization/Entry:_______________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Distance Traveled to Attend:________________________________________(miles)
Year__________________ Make:_____________________ Model:__________________
Special Features:_____________________________________________________________
Emergency Vehicle:
Unit Number____________ Year:____________ Make/Type Vehicle:_____________
Model:___________________ GPM:_______________ Tank Capacity:____________
Aerial Length:____________________ Special Equipment:_______________________