Fire Prevention
Programs
Resources
Burn Survivors
Programs
Camp Beyond the Scars
Burn Survivor Events
Applications
Our Impact
Get Involved
Donate Now
Ways to Give
Special Events
Volunteer
Internship
About Us
Our Mission
Our Team
Contact Us
News
Financials
English
English
Español
Fire Prevention
Programs
Resources
Burn Survivors
Programs
Camp Beyond the Scars
Burn Survivor Events
Applications
Our Impact
Get Involved
Donate Now
Ways to Give
Special Events
Volunteer
Internship
About Us
Our Mission
Our Team
Contact Us
News
Financials
Donate Now
Imperial County Fire-Safe Kids Presentation Sign-Up
Home
/
Imperial County Fire-Safe Kids Presentation Sign-Up
Back To Home
Please contact plucas@burninstitute.org with questions.
FSK Imperial Valley + Puppet Show Application
Book a Presentation
*
School
*
Ballington Academy for the Arts & Sciences
Ben Hulse Elementary
Bill E Young Jr. Middle School
Blanche Charles Elementary
Booker T. Washington Elementary
Boys and Girls Club-Brawley
Boys and Girls Club-Holtville
Brawley Public Library
Calexico Mission School
Camarena Memorial Library
Cesar Chavez Elementary
De Anza Magnet School
Desert Garden Elementary
Dogwood Elementary
Dool Elementary
El Centro Public Library
Finley Elementary
Fremont Primary School
Grace Smith School
Harding Elementary
Imperial Cross Elementary
Imperial County Office of Education
Imperial Cross Elementary
J.W. Oakley Elementary
Jefferson Elementary
Kennedy Gardens Elementary
Lincoln Elementary
Magnolia Union Elementary
Mains Elementary
Miguel Hidalgo School
Margaret Hedrick Elementary
Martin Luther King Elementary
McCabe Union Elementary
McKinley Elementary
Meadows Union School
Miguel Hidalgo Elementary
Mulberry Elementary
Myron D. Witter Elementary
NAF Naval Air Facility
Our Lady of Guadalupe Academy
Phil D. Swing Elementary
Pine School
Rockwood Elementary
Sacred Heart School
San Pasqual Valley Elementary
Sea View Elementary
Seeley Elementary
Sunflower Elementary
T.L. Waggoner Elementary
Westmorland Union Elementary
Other
If your school is not listed, please email plucas@burninstitute.org
Name
*
First
Last
Email
*
Phone
*
Hidden
School Address (if available)
Street Address
City
What grade levels will be attending the presentation? Select all that apply.
Pre-School
K
1
2
3
4
5
6
What is the estimated number of students attending the presentation?
*
Hidden
Are you requesting a Fire Safe Kids presentation (K-6) or a puppet show?
Presentation
Puppet Show
Will this presentation be in-person or virtual?
*
In-Person
Virtual
What virtual learning platform are you using/will we be conducting the presentation on (Zoom, Google Meets, Microsoft Teams, etc)?
*
Would you like us to deliver informational fire safety goody bags to your school? They include a coloring book, escape plan, home safety checklist, and more.
*
Yes
No
What is the latest date that you would like them dropped off? (We will try our best to get them to you by that date)
*
MM slash DD slash YYYY
Hidden
Would you be willing to have your class participate in a second posttest a month after their presentation? This test is used to measure how much knowledge students retain over a long period of time and will help the Burn Institute improve their program.
*
Yes
No
Notes
Please let us know if you have any special requests. Thank you.