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Dear Parents,

Thank you for taking the time to do your part in educating your child to the importance of understanding fire safety. We hope these next few minutes will help reinforce the importance of keeping your home safe as possible, and that you'll have the confidence in knowing that you've done everything you can to help your family escape in the event of a fire in your home.

How to do your homework:

1) Read "10 Simple Steps to a Safer Home" and "Practice Safety as a Family"
2) Fill out the Student Information below
3) Click "Continue" and take the test. Good luck!

---STUDENTS INFORMATION---
1) Parent/Guardian's First Name:* 

2) Parent/Guardian's Last Name:*

3) Student's First Name:*

4) Student's Last Initial:*

5) Relationship to student:*

7) School student is attending:*

8) Student's grade (examples: 1st, 2nd, etc):*

9) State:

10) Teachers Name:*

11) Teachers email address:*

11) Confirm Teachers email address:* (*) Indicates a required field


Verify your information and click "Continue" to take the test.