Request a Coast Guard speaker, unit tour or Coast Guard participation

Please fill out the following information to request a Coast Guard speaker, unit tour or Coast Guard participation in your event. Items in red are required.

Your name:
Organization:
Phone number:
Email address:
Please respond via:
Phone
Email
What is the nature of your request:
Coast Guard speaker
Coast Guard unit tour
Coast Guard participation in an event
Other
Event name:
Event date: *Please do not submit a request for an event more than three months in advance*
Event time:
Event street address:
Event city:
Event state:
Audience:
Number of people expected to attend:
Topic of discussion:
Search and Rescue
Boating Safety
Law Enforcement
Marine Environmental Protection
Ice Breaking
Coast Guard Careers
Other
If the topic you are requesting is not listed above, please note it here:
Will there be an admission fee to attend the event?
Yes
No
Is this group or event open to anyone who wishes to attend?
Yes
No
Additional information: