Safety Scoops for The Great Colorado Fire Drill!

Please complete and submit this form to receive a free ice cream scoop coupon from Cold Stone Creamery

(for children 12 years old and younger that practiced a Home Fire Drill).

Form Submission Date:

mm/dd/yyyy

Family Last Name:

How did you hear about The Great Colorado Fire Drill (and this tasty reward)?

Age of Student Submitting:

How old is the child that completed this activity?

Student's Grade Level (if known):

Age of Each Sibling (if applicable):

If any siblings participated in practicing the home fire drill, how old are they?

Mailing Address:

This is where we'll send the ice cream coupon(s)!

City:

Zip Code:

Number of Coupons Requested:

(Limit 1 per child, per household - aged 12 years and younger).

File Upload:

Please attach a "Safety Selfie" of you/your family at your Meeting Place after completing your Home Fire Drill, or a copy of your Home Fire Escape Map.

Drop your files here

Questions/Comments:

Thank you for doing your part to help keep our community safe!

Join the Sound Off Home Fire Safety Patrol! Visit ymiclassroom.com/soundoff-families for free videos for children, a Storybook, and online games to make learning about fire safety fun!

Send me a copy of my responses

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