News & Events
Coalition Member Site
Please fill out this request form for event assistance from SKGH. You will normally be contacted within three business days.
Type of event/presentation
Educational Workshop (List topic below)
Car Seat Check
Safety In and Around Vehicles Workshop
NEW: Cub Scout Automotive Safety Patch
Other (Indicate below)
Name of person requesting
Location of event/workshop?
Desired date of event/workshop?
If staff/trainees, advise type of business
If educational workshop, advise injury prevention area to target
Safety in and Around Cars
Child Passenger Safety (Car Seats)
Wheeled Sports (Bike, skates, etc.)
Other (Note below)
We are requesting assistance with (check all that apply)
Safety Equipment (Car Seats, Helmets, etc.)
Location/facility for event
Other (Describe below)
Equipment you may need
Do you have funds to help support the event?
Do you have volunteers/staff to assist?
If yes to either of the above, list your available resources:
Expected number of participants?
I have no idea
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