Crime Prevention and Justice Assistance Division

CCP Branch Contact Us

Please complete and submit the form below to request a presentation on:

Type of Event/Presentation*
Please select one of the following options
Organization/Agency Name*
Name of Requestor*
First Last
Job Title of Requestor*
Mobile Phone Number of Requestor*
Email Address of Requestor*
Type of Event/Presentation*
Please select one of the following options.
If you selected "Other" as Type of Event/Presentation, please provide a brief description.
Date of Event/Presentation*
MM slash DD slash YYYY
Start Time of Event/Presentation*

: Hours

Minutes

AM/PM
End Time of Event/Presentation*

: Hours

Minutes

AM/PM
Location or Address of the Event/Presentation*
Participant Age Group*
Please select one or more of the following age groups.
- Select All
- 5 years old & under
- 6 to 12 years old
- 13 to 17 years old
- Adults 18 years and older
Total Number of Participants*
For McGruff Appearances Only
Is there a private dressing area for the McGruff performer?*
- Yes
- No
Will parking be provided for the McGruff performer and his assistant?*
- Yes
- No
If parking will be provided, please provide additional details.
Specifically state the purpose of the McGruff appearance and what you would like him to do.*
Contact Us
For more information, please send us an email at: Thank you from the Community & Crime Prevention Branch!
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