Forms Module

2. Please complete the following form to request the presence of the Charleston Police Department's Community Oriented Policing Division at your event. Submission of this form does not guarantee attendance, as our availability may vary. For best results, submit your request at least two months in advance of your event date. We will contact you via email to inform you of our final decision.

4. First Name*
5. Last Name*
7. Phone number*
8. E-mail Address*
10. Name of Event *
11. Organization
13. Date and Time of Event*
    Date and Time of Event

    Date and Time of Event
15. Location of Event*
17. Address2
19. City*
20. State*
21. Zip*
23. Details About Event*
Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field