This form is for Driver's Education Instructors to request a Choices, Chances and Decisions ~ Stop the Bleed presentation for your class.

Please note the following:

• Completing this form does not guarantee your request will be accommodated.

• The presentation requires 2-3 hours of class time, depending on class size.

• Topics covered
• Impaired Driving
• Buckle Up
• Sharing the Road with Bikes
• Stop the Bleed Instruction - each student present will receive a kit.

If you have any questions or need additional details, feel free to contact us at sdemsc@usd.edu.