Passport Order Form

PASSPORT TO SAFETY DISCLAIMER: Our web site provides general information on health and safety. The information presented is intended for general use and may not apply to all circumstances.

The purchaser of the Passport to Safety program understands that it will provide general workplace health and safety awareness only and that Passport to Safety is NOT a substitute for workplace specific training.

District *

School Name *

School Address *

City *

Province *

Postal Code *

Country *

Phone *

Fax

NOTE:

To help ensure these special memberships get to you and your students, Passport to Safety will only email the membership information to school email addresses. Please use your personal District email address, of if necessary a main office email address.

Your School EMail Address *

Verify EMail *

Teacher's Name *

Course Name or Code *

Grade *

One membership per student is required. Please indicate the number of memberships you require. Click on course name for details.

English: Passport to Safety for Teens

Français: Épreuve Passeport Sécurité pour adolescentes et adolescents

English: Passport to Safety 101

Francais: Examen Passeport 101