When

Sunday, March 18, 2018 from 12:00 PM to 3:00 PM EDT
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Where

Lakeland High School

1349 E Main St.
Shrub Oak, NY 10588

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Contact

Liz Talbert
Alliance for Safe Kids
914-736-1450
events@allianceforsafekids.org

Save A Life 2018

Save A Life is a program designed by ASK to inform and empower high school students and adults to become community allies and first responders to support teens and families in crisis.

* Required information

Student Information

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    What school district do you live in?

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Photo Release Consent

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    I, the undersigned, give my permission to Alliance for Safe Kids Inc. (“ASK”) to use photographs, audio and video recordings and facsimile images of me, without compensation, for promotional activities, including but not limited to publicity literatures, newsletters, brochures and the ASK website. I further agree to hold ASK free and harmless from all claims arising from the use of said photographs, audio and video recordings, and facsimile images when used within the scope described above.

Volunteer

  • As a student participant, you will be receiving 3 hours of community service for attending. There are additional volunteer opportunities at Save A Life. If you are interested, please check the boxes below and we will contact you with more details.

Student Workshop: Students Must Choose the Workshops You Will be Attending

Item Qty. Max Limit Price

Student Workshop 1

Choose the topic you would like to attend for your first workshop.

Select up to 1

1 Free
1 Free
1 Free
1 Free
1 Free
1 Free
1 Free
1 Free

Student Workshop 2

Choose the topic you would like to attend for your second workshop.

Select up to 1

1 Free
1 Free
1 Free
1 Free
1 Free
1 Free
1 Free
1 Free

Donation

Parents/Guardians, if you are filling this out for your child, please note that Save A Life is a free event for our community. With grant funding expiring in September 2018, we need your help now to ensure Save A Life continues into 2019.

50 $20.00 each
$9,999.99

Payment

Payment Method

  • Please make check payable to:
    Alliance for Safe Kids
    PO Box 106
    Yorktown Heights, NY 10598

Payment Summary


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