Form Center

2. School Name*
4. First Name*
5. Last Name*
7. Phone Number*
9. Email Address*
11. Date and time alarm was initiated*
    Date and time alarm was initiated

    Date and time alarm was initiated
12. Date and time drill was complete*
    Date and time drill was complete

    Date and time drill was complete
14. Number of Students*
16. Number of Staff*
18. Number of Visitors (If applicable)
20. Did the alarm operate properly?*

    1. Yes
    2. No
22. Did everyone evacuate?*

    1. Yes
    2. No
24. If no, please give reasons why
26. Other remarks
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field