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LAPD/CSP and Rocket team up for an interactive classroom presentation!
* Large Assemblies NOT recommended.
* 50-60 students MAX per presentation.
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* Indicates required question
Email
*
Your email
Officer and School Contact Information
Will there be an officer present for the lesson?
*
Yes, I am the Officer who will be present and will provide my information below.
Yes, I can provide the Officer's name and title below.
No, there will not be an Officer present.
If YES, provide Officer Name.
If NO, type "N/A".
*
Your answer
If YES, provide Officer Email Address.
If NO, type "N/A".
*
Your answer
If YES, provide Officer Phone Number.
If NO, type "N/A".
*
Your answer
Are you a CSP Officer?
*
Yes
No
School Name
*
Your answer
Is this an LAUSD school?
*
Yes
No
School Address
*
Your answer
School Phone Number
*
Your answer
School Contact Title/Position
*
Your answer
School Contact Email Address
*
Your answer
School Contact Phone Number
*
Your answer
Is this your first ROCKETLive! Presentation?
*
Yes, I've never seen it in action.
Yes, I know what it is but I haven't presented yet.
No, I've used ROCKETLive! in my classroom before.
Grade Level
*
Kindergarten
1st Grade
2nd Grade
Other:
Large Assemblies NOT recommended
* 50-60 students MAX per session
Number of 20-minute Sessions on Presentation Day
*
2
3
Other:
Total Number of Students
*
Your answer
These are the RocketLive! Lessons offered.
Please choose
one
lesson for your ROCKETLive! session.
* All classes will receive the
same
lesson.
Which lesson do you prefer?
*
Crossing the Street Safely
Bike Safety
Safe People and Safe Places
Dial 9-1-1 and Keeping You Safe
Bullying and Were You Kind Today?
Finding Exits
Medicine and Drug Safety
Earthquake Safety
Fire Safety
Please request 2 dates for your presentation.
*Once your request is submitted, the date and time will be confirmed within 48 hours.
1st Date Choice
*
MM
/
DD
/
YYYY
1st Time Choice
*
Time
:
AM
PM
2nd Date Choice
*
MM
/
DD
/
YYYY
2nd Time Choice
*
Time
:
AM
PM
Please list any additional accommodations needed for the classroom: (e.g. special education, bilingual Spanish lesson, etc.)
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
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