S.A.F.E. | Prevention - Education - Duty

School:
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Date of Presentation (mm-dd-yyyy):
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Contact Person:
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Phone Number:
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Address:
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City:
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State:
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Zip Code:
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Please fill in the start time and end time of each presentation:

Format - hh:mm a or p
Example: For 11am to 1pm, input 1100 a in the first box and 0100 p in the second box.

Presentation 1: A value is required.Invalid format.

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Presentation 2: Invalid format.

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Please fill in the estimated number of students for each presentation:

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Presentation 2:

Presentation 3:

Presentation Check List - Please Check Box

Projection Screen
1 - sturdy 6' table
1 - small table for AV equipment
1 - chair
Power source
2 - Wireless lapel microphones and working PA system (optionally, we will bring our own sound system and lapel mics, if needed)

Type of Venue - Please Check Box

Auditorium
Theater
Classroom
Other:
Gymnasium (not optimal)

Note: The gymnasium is the absolute worse venue for this type of presentation and we strongly request other options for a venue. If this is the only option we ask that all of the students be seated on one side of the gymnasium, adequate PA system and light issues resolved for PowerPoint presentation.

We thank you in advance for taking the time to help us properly prepare for our presentation. If you have any questions, please call (321) 438-5321.

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Venue Checklist

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Please fill in the start time and end time of each presentation:

Please fill in the estimated number of students for each presentation:

Presentation Check List - Please Check Box

Type of Venue - Please Check Box