PBA Event Request

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PBA Event Request

Thank you for your interest in having The Finest Program participate in your meeting or event! Please complete the form below to help us understand your needs and ensure we can support your event effectively.

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PBA Name *

Primary Contact Name *

First

Last

Email Address *

Phone Number *

Event Name *

Event Date and Time *

Date

Time

Event Location *

Address Line 1

Address Line 2

City

State

Zip Code

Type of Event *

Monthly Meeting
Special Event
Community Outreach
Fundraiser
Other, please specify

Type of Event Other

Expected Attendance *

Setup Other Setup

Requested Topics or Areas of Interest *

Healthcare and Wellness Services
Benefits of The Finest Program for Officers and Families
Mental Health Resources
Fitness and Physical Therapy
Specialty Care and Support Services
Other, please specify

Requested Topics Other

Equipment and Setup Needs *

Yes, please specify
No

Equipment Setup Needs Exaplain

Additional Requests or Information

Preferred Follow-Up *

Email
Phone
Either

Deadline for Confirmation

Thank you for your interest in having The Finest Program speak at your event. We will review your request and get back to you shortly to discuss next steps.

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Email *

Finest Program LLC