RHFES Fire Prevention Week Family Activity Kit Request Form

As part of our Fire Prevention Week activities, Richmond Hill Fire & Emergency Services is offering FREE family activity kits to our community... delivered contactless right to your door! Sign up below to have us deliver a kit that includes activity booklets, fire safety information, literacy activities and FUN SURPRISES!

First name

Last name

Address (must be in Richmond Hill)

Phone

Email address

Number of children’s kits

Age of children (minimum age 4)

4 - 6

6 - 10

10 - 13

Number of adult kits

Designated drop off location (i.e. front porch, driveway, etc.)

Do you have a smoke alarm on each floor of your home?

Yes

No

Are your smoke alarms over 10 years old? (If so, they need to be replaced...yes even the wired ones!)

Yes

No

Do you have a carbon monoxide (CO) alarm near all sleeping areas?

Yes

No

Do you have a home escape plan? (If no, please create one!)

Yes

No

Have you practiced your home escape plan within the last 6 months? (If not, please do so!)

Yes

No

Do you know what to do if your smoke or CO alarm chirps? (Hint…something needs to be replaced)

Yes

No

The personal information on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c. M.56, the Municipal Act 2001, S.O. 2001, c. 25, R.S.O. 1990, c. P.13. The information will be used for the purposes of processing orders and delivering Activity Kits. Questions about this collection can be directed to Fire Prevention staff at fireprevention@richmondhill.ca.

City of Richmond Hill

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RHFES Fire Prevention Week Family Activity Kit Request Form

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