Form Center

2. Hosted by the Anoka County Sheriff's Office and the Andover and Ham Lake Fire Departments
4. Child's Name*
5. Child's Grade*
7. Home Street Address*
8. City*
10. Parent Name*
12. Parent Contact Phone Number*
13. Parent Email Address*
15. Classes you would like to register your child for:

    Pick one or more classes

    1. June 20, 1:00-3:00 pm - Fire and Traffic Safety
    2. June 27, 1:00-3:00 pm - Be Aware & Safe and Animal Safety
    3. July 11, 1:00-3:00 pm - Self Control and Bully Prevention
    4. July 18, 1:00-3:00 pm - Bike Safety and Basic First Aid
17. A confirmation email will be sent once your registration is received.
Leave This Blank:


19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

* indicates a required field