Request Injury Prevention Staff for an Event

  • Children's Injury Prevention Staff are available for Programs & Events. To request education materials and/or staff at your event, please submit a request using the form below.

    * Asterisk indicates a required field.























  • Date Format: MM slash DD slash YYYY

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  • Children’s Hospital & Medical Center’s participation is dependent on resources, scheduling and staff availability. Completing this event request form does not guarantee participation.

    A staff member from Children’s Hospital & Medical Center’s Trauma Department will contact you to follow up on your submitted request.

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