Program Waiting List
Programs at the Safety Village are available on a first-come-first-serve basis. If there are no dates available for the program you are interested in, complete the following form to be added to a waiting list.
This does not guarantee that your class will be able to attend, but we will contact those on the waiting list (in order) when a program does become available.
* Required
School Name
*
Your answer
School City/Township
*
Choose
Kitchener
Cambridge
Waterloo
Wilmot
Wellesley
Woolwich
North Dumfries
Other (not in Waterloo Region)
Teacher (Contact) Name
*
Your answer
Teacher (Contact) Email
*
Your answer
School Phone Number
Your answer
Program(s) you wish to be put on waiting list for:
*
Grade 1 - Safety in the Community
Grade 2 - Introduction to Fire Safety
We want to have a Grade 1 (Safety in the Community) class and a Grade 2 (Introduction to Fire Safety) class attend together at the same time and share a bus.
Grade 3 - Bicycle Safety
Grade 4 - The Science of Fire
We want to have a Grade 3 (Bicycle Safety) class and a Grade 4 (Science of Fire) class attend together at the same time and share a bus.
Grade 5 - Online Safety
Grade 6 - Emergency Preparedness
We want to have a Grade 5 (Online Safety) class and a Grade 6 (Emergency Preparedness) class attend together at the same time and share a bus.
Required
Comments/Additional Considerations
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