Community Affairs Division

Request Form


  • All information below is required except where indicated.
  • Incomplete forms may delay processing.
  • All requests are subject to staffing availability.
  • Due to prior staffing assignments, requests received within four weeks of an event cannot be processed. Mahalo for understanding.

The following programs may be requested via this form: Keiki Id, Say Hi, Speaker Requests, Neightborhood Security Watch Training and the Museum or Station Tour


 
Requestor
 
E-mail
 
Organization
 
 
 
Organization Address
 
 
 
Event Description
 
 
 
Event Location
 
 
 
Contact Person
 
 
 
Contact Telephone Number
 
 
 
Contact E-mail Address
 
 
 
Services Requested
 
Requested Date And Time
 
 
 
Alternate Dates And Times
(optional)
 
Number of Persons Attending
 
Number of Persons
and their Ages if Under 18
 
 
 
Special Requirements
(optional)
 
 
 
Additional Information
(optional)
     
    CAPTCHA Image
 
 
 
Enter Verification Code: 
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