Imperial County Fire-Safe Kids Presentation Sign-Up

Please contact plucas@burninstitute.org with questions.

Book a Presentation*
School*
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.
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?
Will this presentation be in-person or 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.*
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
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.*
Notes
Please let us know if you have any special requests. Thank you.

San Diego, CA