High Voltage Safety Demo Request Name of Organization: Your Name: Your Email: Your Phone Number: Is there an outdoor location nearby suitable for the demonstration? Yes No Please Describe: When do you want to have the demo? When do you want to have the demo?: Date When do you want to have the demo?: Time Ages of Participants: Status message WKRECC will be in contact within 5 business days to discuss your request. Please be aware that WKRECC’s electrical safety demonstration includes electrical arc flashes and loud noises. If there are participants who may be disturbed, please arrange for alternate activities. - WKRECC CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.