Refer any youth age 8-17 who are at risk for, or exhibit high-risk behavior associated with all types of fire misuse (e.g., fire play, fire setting, arson, experimentation, fireworks, bottle bombs, etc.).
- Complete a referral form. Email it to: Kristy Brown firstname.lastname@example.org or Fax it to: 734-232-3833
Referral Form (PDF)
- Complete a Waiver Disclosure form. (This is for referring schools, fire departments, police departments and social service agencies. Parent initiated referrals need not complete.) Fax it to: 734-232-3833
Disclosure Form (PDF)
- Provide each custodial parent or legal guardian with:
Straight Talk Family Information Forms (PDF).
- Parent/legal guardian must call or email to schedule their child/children into the Straight Talk program. To schedule call 734-232-3814 or email email@example.com