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Stop the Bleed Interest Form
Please fill out this form to indicate interest in having a presentation at your school. Someone will reach out to help schedule your session based on your availability on this form.
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Email
*
Your email
Name
*
Your answer
Phone Number
*
Your answer
School Name
*
Your answer
How many students would likely participate?
*
Your answer
What months would you be open to scheduling a presentation?
*
January
February
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May
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If you have any questions, please contact mchd_mrc@macombgov.org.
Someone from the Emergency Preparedness division will contact you shortly.
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