Emergency Preparedness Presentation Request
Please provide information below so we can present pertinent information to your group.
What type of organization do you represent?
Is your organization made up of families, singles or mixed?
What age group is your organization's audience?
Do you require any special needs information?
Any non-English needs? (state language(s) or 'no')
Will pet safety and preparedness be a concern?
If you would like regular presentations, how often?
Yes - Bi-annual
Yes - Annual
How much time would you like for the presentation to take?
Desired Dates and Time
List three dates, no sooner than 30 days from now, in order of preference.
Who is the point of contact for your organization? Name, Email, Phone Number
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