VCH Resource Pack Order Form

Each resource package will include:

• 1 copy of the Safety Superheroes: Preventing Grandparents From Falling book (in English, French or Chinese)
• a lesson plan with instructions on how to deliver the Safety Superheroes Fall Prevention Workshop
• one Safety Challenge Handout for each participant
• one Safety Superheroes Certificate for each participant

WHO CAN ORDER

If you are a teacher of a grade 1-3 class, or leading a community group of kids ages 5-8, please complete the form below to have your resource package delivered to you. It may take up to 7-10 business days from the time you place your order until you receive your package.

YOU MUST BE LOCATED IN ONE OF THE FOLLOWING AREAS TO ORDER THIS PACKAGE AT NO CHARGE:

• Richmond (SD38)
• Vancouver (SD39)
• North Vancouver (SD44)
• West Vancouver (SD45)
• Sunshine Coast (SD46)
• Powell River (SD47)
• Sea-to-Sky (SD48)
• Central Coast (SD49)

* indicates required field

First Name:*

Last Name:*

Email:*

School Name or Group Name:*

Mailing Address:*

Contact phone number - including area code. Please be specific about when is the best time to reach you.*

How many students will participate? (we need to know how many worksheets & certificates to send you)*

Preferred language for the storybook in your resource package (English, French or Chinese).*

Location (please indicate which area or school district you are working in)*

Richmond (SD38)
Vancouver (SD39)
North Vancouver (SD44)
West Vancouver (SD45)
Sunshine Coast (SD46)
Powell River (SD47)
Sea-to-Sky (SD48)
Central Coast (SD49)

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