Arrive Alive Kit Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The #ArriveAlive kits are only for students ages 11-20.

Students: Thank you for joining us in promoting driver and passenger safety this spring and summer! Please fill out the information below to receive your #ArriveAlive kit!

All kits include the following:
-Your Summer Guide to Arrive Alive with traffic safety tips, activity ideas, summer recipes, word puzzles, and more!
-Buckle Up Reminder Cards - share these with your friends so they can register for a kit too!
-Candy: Air Heads and Skittles
-16oz Geo Tumbler with the Arrive Alive logo and a safety message
-Mood Sunglasses with a safety message- they change from white to blue!
-LED Lighted Yo-Yo with the YOVASO logo
-Buckle Up- The World Needs You Sticker/Decal
-Arrive Alive Sticker/Decal

Parents, YOVASO Sponsors, and other Adults: Please refer to https://www.yovaso.org/arrive-alive/ for other campaign resources and information.

A special thanks to State Farm for sponsoring the Summer Arrive Alive Kit!

We'll begin shipping kits the week of April 5.

Your First and Last Name: *

Please check one: *

Male

Female

Your Email Address: *

Your Phone Number: *

Your Mailing Address: *

Please provide a physical street address as UPS does not deliver to PO boxes.

Your Apartment Number, if applicable:

Please provide a physical street address as UPS does not deliver to PO boxes.

City or Town: *

State: *

Zip Code: *

Name of Your School or Youth Group: *

Your Grade for the 2020-2021 School Year: *

This year's Arrive Alive Kit comes with several fun items including a 16oz Geo Tumbler. Would you like to order a green tumbler? *

Yes

Are you currently involved with the YOVASO club at your school or youth group? *

Yes, I am involved.

No, I am not involved.

My school or youth group doesn't have a YOVASO club.

If you are not already on our email distribution list, would you like to be added to receive future information on YOVASO programs, campaigns, and retreats? *

Yes, I would like to be added.

No, I would not like to be added at this time.

I already receive YOVASO information via email and do not need to be added.

If your school or youth group has a YOVASO club, are you okay with us sharing your contact information with the club sponsor so he/she will know you participated in the contest and can reach out to you about the club at your school or youth group? *

Yes, you may share my contact information.

No, I would rather you not share my contact information.

If you are not already involved with YOVASO, are you interested in learning more about how you can get involved? *

Yes, I would like a YOVASO staff person to contact me.

No, I am not interested at this time.

I'm already involved with YOVASO through my school or youth group and do not want a staff person to contact me.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms