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.

School Name *

Your answer

School City/Township *

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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