Thank you for your interest in teaching your students about tick safety. Please complete this form to request materials. If you have any questions or need support, please email ZVDU@health.nyc.gov.

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* First Name

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* Last Name

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* School/Organization

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* School or Organization Email

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* Preferred Email

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* How many students will you be teaching?

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* What grade(s) do you teach?

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* Which Tick Toolkit components would you like us to send? Note that the lesson slides, Letter to Parents, and supplemental activity are only available digitally.

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* Quantity of All About Ticks children's workbooks in English:

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* Quantity of All About Ticks children's workbooks in Spanish:

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* Mailing Address (include borough and ZIP code)

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* Do you plan to use this lesson to fulfill any required learning objectives or standards?

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* How did you hear about the Tick Toolkit?

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* Are you interested in being notified when other educational materials are developed by the Health Department?

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* Are there any other health topics you would like to see materials developed for?

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* Do you have any questions or comments?

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