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Request a Block the Blaze Digital Packet

Block the Blaze is now offering a new digital lesson plan that can seamlessly be implemented in classrooms nationwide!  The digital packet is meant to be an all-inclusive lesson plan for teachers including video modules with discussion points for student participation, and accompanying resources such as frequently asked questions, study guide, quiz and sun safe activities.   

Our Block the Blaze presentations are informative, fun, and free! Our goal is for every child in the U.S. to know how to protect themselves from skin cancer.  Please fill out this form to request the digital assets. Please allow for up to 2 days for the digital asset to arrive after a request has been submitted.  PLEASE CHECK JUNK FOLDER AS PDF MIGHT END UP IN JUNK FOLDER.

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First Name *
Last Name *
Email Address *
School Name *
Street Address *
City *
State *
Zip code *
Please indicate what group you will be educating so we can send the correct packet *
Phone number *
How many students do you anticipate will hear this Block the Blaze digital presentation? *
Where will digital presentation take place? *
Please provide anticipated date you will be sharing the Block the Blaze presentation with your students *
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After you present, please fill out the number of students who heard the digital Block the Blaze presentation by using link below

How did you hear about us? (If referred by a teacher please list teacher)
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