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Thank you for your interest in the Youth CDE program. Youth CDE offers three different types of presentations (free of charge): "Don't Be Scared, Be Prepared!," for elementary and middle school students; Together We Prepare, for high school and college students; and, the Youth CDE Booth. To request a program, fill out the inquiry below. For other inquiries, click here.

Name of School or Organization:
Name of Organizer:
Phone Number:
Email Address:
Event Location:
Street	County
City	Zip
State
Which presentation are you interested in scheduling?		When would you like to schedule it?
Approximately, how many members or students will be attending the presentation?		What are the age groups?
Will you be able to provide space and equipment for the presentation? (chairs, table, blackboard)		Yes No
If not, what are your limitations?
If necessary, do you have access to volunteers to help set up?		Yes No
Would you like information on the Youth CDE service-learning projects?		Yes No
Do you know your school's emergency plan?		Yes No
Is your school a designated shelter?		Yes No
Other event information you would like to share?

American Red Cross
4800 Mount Hope Drive
Baltimore, Maryland 21215
(410) 624 - 2000 Fax: (410) 764 - 4914
youthcde@arc-cmc.org
www.redcross-cmd.org
Youth Community Disaster Education Logo