Buckle Up with Bucky Request Form 

F-M Ambulance Service promotes Child Passenger Safety through our Buckle Up with Bucky classroom presentations.  Presentations are geared for grades K - 2.  Each presentation is 30 minutes, which includes an interactive presentation about seat belt safety by a a paramedic, a short video and a book about Bucky, the seatbelt.  Each group will also have the opportunity to do a short tour of an ambulance if requested. Presentations are available by appointment throughout the school year.  

You will need to provide a DVD player for the guest speaker.   

* Due to the amount of presentations in our area, it is strongly preferred to do two classrooms at the same time


Personal Information
First Name *
Last Name *
Email Address *
Phone Number *
School *
Grade * K     1     2    
Scheduling Information
Preferred date(s)
Preferred time(s)
Do you want an ambulance tour for your kids? * Yes     No    
Once your request is submitted, you will receive an email from Laurie within one week to confirm a schedule for the Buckle Up with Bucky presentations.  Thanks!

  

Received a bill from us?

Paying your ambulance bill online is fast and easy!

Or call our billing department at 701-234-1222 from 8:00 AM - 4:30 PM, Monday - Friday. 

Tours

F-M Ambulance Service recognizes the benefits of showing the general public what emergency services is about. One way to promote EMS is to provide tours at no cost to the public when ever we are able to. If you are interested in setting up a tour with one of our ALS ambulance units, contact us by email here: 

Check us out on:

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Need a car seat or bike helmet checked?

Click here for info on the Safety Shoppe!