Form - Life Jackets Save Lives

LIFE JACKETS SAVE LIVES

WERE YOU SAVED BY THE JACKET?

Share your experience with us so that others may learn the importance of wearing a life jacket on and around the water. We want to take your real-life story and show others proof that life jackets really do save lives. Stories are limited to Pennsylvania waterways.

* Required fields

YOUR CONTACT INFORMATION

First Name*

Last Name*

E-mail Address*

Telephone (xxx-xxx-xxxx)

Address*

City*

State*

Zip Code*

Your saved by the jacket experience (150 words or less)*

The Pennsylvania Fish & Boat Commission shall have the right to digitize and use all submissions for publishing, illustration, World Wide Web display, advertising, trade, exhibits and promotion, and in any other use in any medium for any purpose whatsoever without compensation.

Thank you for providing your story. A confirmation message will be sent to the email address provided. After submitting this form you will be taken to the PFBC home page.

Life Jackets Save Lives