Working for a safe, affordable, vibrant, innovative, and interconnected city.
Learn More
Seattle.gov Home Page
Seattle.gov This Department
Link to Seattle Fire Department Home Page Link to Seattle Fire Department Home Page Link to Seattle Fire Department About Us Page Link to Seattle Fire Department Contact Us Page
Gregory Dean, Fire Chief

  Home > Public Education > Preschool > Injury Prevention Program > Request Form
Department Information
Public Education
- Apartment Fire Safety
- Business Fire Safety
- Campus Fire Safety
- Community Safety Program
- Family Fire Safety
- Fire Fact Sheets
- Fire Safety in Other Languages
- Fire Stoppers
- General Information
- High Rise Safety
- Home Fire Safety
- Marina Fire Safety
- Preschool Program
- School Programs
- Senior Fire Safety
- Smoke Alarms
Fire Prevention
Firefighting
Medic One
Research
Publications
Photo Gallery
Employment
Site Map

Preschool Injury Prevention Program Registration

Use the form below to request a FREE copy of the Smart Kids! Safe Kids! Injury Prevention Curriculum.

PRIVACY NOTICE:  Seattle Fire Department will not use the information you provide below for any purpose other than to contact you to give you more information about the Smart Kids! Safe Kids! Injury Prevention Curriculum and/or the Smart! Kids! Safe Kids! quarterly newsletter. 

(*) = Required Field

Request Form Information  (Required)

I would like a free copy of the Smart Kids! Safe Kids! Injury Prevention Curriculum sent to me.
Preschool/Group Name: *
No. of Children Using  Curriculum: *
Teacher Contact Name:
First: *
Last: *
Daytime Phone: - - *    Ext:
Email Address: *
Business Address:
Street: *

City:

*

State:

*

Zip:

*
Mailing Address:
Check here if the mailing address and business address are the same.
Street:

City:

State:

Zip:

Smart Kids! Safe Kids! Quarterly Newsletter
   Yes, I would also like to receive the Smart Kids! Safe Kids! Newsletter
       with fire safety and exciting program information (Optional).
Submit Registration Form

   

If you have questions or need assistance, email the Public Education Office .

Preschool Fire Safety Program | Top

Last Modified:   June 26, 2009

Seattle Fire Department Home | About Us | Contact Us | Related Links | Employment | Site Map
Error processing SSI file