Basic CPS Awareness Course Request Form
Thank you for your interest in the basic child passenger safety awareness course. Provided in English, Spanish and Mandarin (Chinese), Safe Kids invites the translation of slides so they are relevant to any audience- parents, law enforcement, lawmakers, health professionals, caregivers, etc. The presentation is designed to provide the leader with basic knowledge to increase awareness and promote good, better and best child passenger safety practices.

The presentation is flexible and can be offered in one to four hours, depending on community interest and needs. For now, it deals only with children riding as passengers in motor vehicles.

Safe Kids requests that you complete a short evaluation of the presentation and send us a copy of your translated slides (electronically) so we can share that translated presentation with others.

For more information contact Kim Herrmann at kherrmann@safekids.org.

First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Zip/Postal Code *
Your answer
Country *
The awareness class is available in 3 languages. Select all that apply. *
Required
Who is your expected target audience for the class? *
Required
English is my first language. *
What languages do you speak? *
Required
I belong to a Safe Kids Worldwide Coalition. *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms