SAFETY BEAR REFLECTORS
Safety Bear Reflector requests are restricted to Department of Public Safety (DPS) personnel.  Reflectors
are intended for use by Alaska's children.  Adults may purchase reflectors from F.O.A.S.T. by calling (800) 770-5050.
 

Fields marked (*) are required   (Your Privacy)

 

Name (DPS personnel only):*

 

Email:*                                                                                     Telephone:*

                   

 

Event or group where reflectors will be presented to children:*

 

Date of presentation:*
                      
Reflectors requested:*         Reflectors used:*         Approximate attendance:*
 

Safety Bear will attend:*             Reflectors will be handed out by a uniformed trooper:*
                                                                                                       
 

If reflectors will not be handed out by a uniformed trooper, who will hand them out?

 

Safety instructions will be presented:*


Additional information or comments: