ELECTRONIC (PDF) Materials Order Request
Please fill out the required information and select the quantities of materials requested. Educational materials will be emailed.  **All Safe Ride News (SRN) Fact Sheets are 2026 or the most current version**

"A Safe Ride For Every Child" is an English/Spanish brochure available in hard copy only. This brochure will be mailed to the listed address. 

Thank you!
Sign in to Google to save your progress. Learn more
Email *
Electronic Materials Agreement
Maryland Kids In Safety Seats (MD KISS) has purchased a commercial distribution/printing license from Safe Ride News Publications, for its Safe Ride News Fact Sheets. As the commercial licensee, MD KISS is required to report the quantities of SRN Fact Sheets distributed to, and printed by, community based organizations/agencies to our grant funder. Therefore, MD KISS requires that any organization/agency using Safe Ride News Fact Sheets in the PDF format complete this Distribution Agreement prior to receiving the requested Fact Sheets.
I agree to abide by the following requirements set forth by Maryland Kids In Safety Seats:  
1. Safe Ride News Fact Sheets must be duplicated as is, with no alterations or modifications permitted.  
2. Safe Ride News Fact Sheets must be distributed free of charge.  
3. Safe Ride News Fact Sheets may NOT be uploaded to a website or made available as a digital copy.
4. Safe Ride News Fact Sheets should be updated once per year by contacting KISS for the most recent versions.  
5. Community based organizations/agencies must report the estimated quantities of SRN Fact Sheets to be printed (for the calendar year in which they are requested) to MD KISS using this form.
PLEASE SIGN/TYPE FIRST AND LAST NAME AND DATE BELOW:
(First and Last) *
Agency Name
Mailing Address (English/Spanish) A Safe Ride For Every Child Brochure
English Materials (Please estimate quantities you will print in 2026)
50
100
150
250
300
350
400
500+
(EN/SP Hard copy) A Safe Ride For Every Child (limit 100)
Maryland CPS Law Flier (English)
Prepare for Baby Flier
SRN: 2024 Are You Pregnant? Buckling Up For Two
SRN: Check Your Child’s Car Seat!
SRN: This Is the Way Baby Rides
SRN: Car Safety For Growing Babies/Toddlers
SRN: Meeting the Car Seat Challenge (Toddlers/Preschoolers)
SRN: Boosters are for Big Kids
SRN: 2023 Buckling Up, Keeping Youth Safe
SRN: Grandparents Guide to Car Seats
SRN: Car Seats and Pick-up Trucks
SRN: 2023 Tethers
SRN: 2023 Safer Airplane Travel
SRN: 2024 What to do About Recalls
SRN: 2024 Learning About LATCH
SRN: 2024 Safe Ride Children w/ Disabilities
SRN: 2024 Children and Air Bags Don't Mix
SRN: Choosing a Family Car for Safety
SRN: Car Safety for Tiny Babies (Preemies)
Approved Vs. Non-Approved Car Seats (English)
Clear selection
Spanish Materials (Please estimate quantities you will print in 2026)
50
100
150
200
250
300
350
400
500+
(SP/EN Hard copy) A Safe Ride for Every Child (limit 100)
Maryland CPS Law Flier (Spanish)
Prepare for Baby Flier
SRN: 2024 Are You Pregnant? Buckling Up For Two
SRN: Check Your Child’s Car Seat!
SRN: This Is the Way Baby Rides
SRN: Car Safety For Growing Babies/Toddlers
SRN: Meeting the Car Seat Challenge (Toddlers/Preschoolers)
SRN: Boosters for Big Kids
SRN: 2023 Buckling Up, Keeping Youth Safe
SRN: Grandparents Guide to Car Seats
SRN: Car Seats and Pick-up Trucks
SNR: 2023 Tethers
SRN: 2023 Safer Airplane Travel
SRN: 2024 What to do About Recalls
SRN: 2024 Learning About LATCH
SRN: 2024 Safe Ride Children w/ Disabilities
SRN: 2024 Children and Air Bags Don't Mix
SRN: Choosing a Family Car for Safety
SRN: Car Safety for Tiny Babies (Preemies)
Approved Vs. Non-Approved Car Seats (Spanish)
Clear selection
Haitian-Creole Materials (Please estimate quantities you will print in 2026)
50
100
150
200
250
300
350
400
500+
Maryland CPS Law Flier
Prepare for Baby Flier
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of State of Maryland.

Does this form look suspicious? Report