Protecting Your Child from Fires and Burns

Questions? Contact Paola at plucas@burninstitute.org or 760-355-3175

Please fill out the information below.

Name(Required)

First Last

Email(Required)

Ethnicity(Required)

Language(Required)

City of residence(Required)

Relationship to child/children ages 0-5 in your care(Required)

Number of children ages 0-5 in your home(Required)

Name of preschool child attends

Write NA if child does not attend preschool

Do you know what a scald burn is?

Yes

Have you ever received information on how to protect your children from scalds and burns?

Yes

The Protecting your Child from Fires and Burns program is funded in part by a grant from First 5 Imperial.

San Diego, CA