Request edit access
Parents Against Tip-overs Sign Up
Sign up to join our parents group centered on protecting children from furniture tip-overs.
First Name
Last Name
Address
Phone Number
Email Address
Organization Name (if applicable)
Website (if applicable)
What brings you to be interested in PAT?
Clear selection
How active would you like to be in PAT? Check all that apply.
Please share your story with us. This will give us important information on the scope of the problem of tip-overs as well as allow us all to know each other better. (Please limit response to 500 words or less, but be sure to include as many details as possible – child age, location of dresser, type of dresser, brand, model, number of drawers, impact on your family, etc.)
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy