Contact Us

Requests for Project ChildSafe safety kits should be made only by law enforcement partners. Individuals, community groups and businesses are encouraged to partner with a participating law enforcement agency. If the agency in your area is not a participating partner, please ask them to contact Project ChildSafe for more information.

FirstName *
LastName *:
Title:
L.E. Agency:
Org. Phone#:
My Phone#:
(Business Address - No Residential addresses)
Address:
Address2:
City:
State:	-- Please Select -- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware DC Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
Email: *
WebSite:
Comments and/or number of safety kits requested:
	In order to submit this form, please type the color of the gun lock in the picture: (* required)