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This evaluation form is to be completed by teachers or school administrators after observing the Third Grade Safety Belt presentation, including feedback on various aspects of the presentation.
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How to fill out THIRD GRADE SAFETY BELT PROGRAM EVALUATION

01
Read the instructions provided on the evaluation form.
02
Gather all necessary data regarding the safety belt program.
03
Start filling out the participant's information in the designated sections.
04
Complete the rating scales based on observations and feedback.
05
Add any remarks or suggestions in the feedback section.
06
Review the form for accuracy and completeness.
07
Submit the evaluation form to the appropriate authority.

Who needs THIRD GRADE SAFETY BELT PROGRAM EVALUATION?

01
Teachers implementing the safety belt program.
02
School administrators overseeing safety initiatives.
03
Local government officials assessing program effectiveness.
04
Parents interested in child safety measures.
05
Community organizations promoting traffic safety.
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4 – 7 Years Keep your child in a forward-facing car seat with a harness and tether until he or she reaches the top height or weight limit allowed by your car seat's manufacturer. Once your child outgrows the forward-facing car seat with a harness, it's time to travel in a booster seat, but still in the back seat.
Wearing a seat belt is the most effective way to prevent injury or death in crashes for adults and older children. Seat belts reduce serious crash-related injuries and deaths by about half. Use a seat belt during every trip, no matter how short.
Current California Law: ​Children under the age of 8 must be secured in a car seat or booster seat in the back seat. Children who are 8 years of age OR have reached 4'9” in height may be secured by a booster seat, but at a minimum must be secured by a safety belt. (California Vehicle Code Section 27363.)
Prove You Were Wearing a Seat Belt Gather witness statements from passengers or bystanders who can confirm that you were wearing your seat belt. Present any relevant medical records if you have a condition that might sometimes exempt you from wearing a seat belt, but were indeed wearing it at the time.
A properly fitted shoulder belt should lie snugly across the center of the chest and shoulder, not on the neck or face or falling off the shoulder. The lap belt should lie snugly across the upper thighs or low on the hips, not the belly.
A three-point belt is a Y-shaped arrangement, similar to the separate lap and sash belts, but unified. Like the separate lap-and-sash belt, in a collision, the three-point belt spreads out the energy of the moving body over the chest, pelvis, and shoulders.
Once your child is at least 145 cm (4' 9”) tall, they may be ready to start using an adult seat belt. In order to fit safely: Your child's knees must bend comfortably at the edge of the vehicle seat when sitting all the way back. The lap belt must stay low and snug across your child's hips.

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The Third Grade Safety Belt Program Evaluation is a systematic assessment designed to evaluate the effectiveness of a safety belt program targeted at third grade students, focusing on education and awareness regarding vehicle safety.
Typically, schools or organizations that implement the safety belt program for third graders are required to file the evaluation to report on the program's reach and effectiveness.
To fill out the Third Grade Safety Belt Program Evaluation, gather relevant data on program participation, educational outcomes, and safety belt usage observations, and input the information into the provided evaluation form following the specified guidelines.
The purpose of the Third Grade Safety Belt Program Evaluation is to assess the impact of the safety belt program on students' knowledge and practices regarding vehicle safety, ensuring that the program meets its educational objectives.
The information required in the Third Grade Safety Belt Program Evaluation typically includes demographics of participants, program attendance, pre- and post-program assessments, and observations related to safety belt usage among students.
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