Hot Line Safety Presentation Thank you for your interest in MVEC's free safetyTown demonstration. Please fill out the following information, and your presentation time will be confirmed as soon as possible. If you have any questions, please contact Susan at 952.492.8258 or email@example.com. *Field is required. Use N/A for all fields not applicable or unknown. Date of Event* Date Format: MM slash DD slash YYYY Time event begins* : HH MM AM PM MVEC presenter will arrive approximately half an hour prior to this time to set up the presentation.Time event ends : HH MM AM PM Name of School or Group*Contact Person* First Last Contact Person's Phone Number*Alternate Phone NumberEmail* Location of Event Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Where should MVEC presenter report and/or set up?This can include where to park, which door to enter, where to check in and any other special directions.Age of Audience*How many students/participants will be in attendance?*How many half-hour sessions does your group require?For the best viewing and participation opportunity, 25 students or fewer is ideal.Additional informationThis can include whether your event is part of a certain grade's curriculum, career day, open house or any other pertinent information that may help customize your event.To ensure an actual person is filling out the form, please answer the following question: 1+6*Please enter a number from 7 to 7.