Love Your Self, BTB Seatbelt Pledge

Presented by: C.A.R.E.S ClubTN

Our mission is to establish and assist teen-managed advocacy programs in high schools throughout the Mid-South that focuses on traffic safety education, unsafe driving practices and emphasizes on preventive ways to decrease crashes, injuries, and fatalities amongst teen drivers.

Question Title

* 1. I promise to wear a seatbelt while operating or riding in a vehicle. I hereby pledge this life-long commitment.
(type first and last name below)

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* 2. Age

19+

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* 3. Gender

Female

Male

Non-Gender Specific

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* 4. What is your race or ethnicity?

Asian

Black or African American

Hispanic or Latino

Middle Eastern or North African

Multiracial or Multiethnic

Native American or Alaska Native

Native Hawaiian or other Pacific Islander

White

I prefer NOT to answer

Self-describe below:

Love Your Self, BTB Seatbelt Pledge

Presented by: C.A.R.E.S ClubTN

Question Title

* 1. I promise to wear a seatbelt while operating or riding in a vehicle. I hereby pledge this life-long commitment.
(type first and last name below)

Question Title

* 2. Age

Question Title

* 3. Gender

Question Title

* 4. What is your race or ethnicity?

Question Title

* 5. Email

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* 6. School/Organization

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* 7. List the teacher or advisor who sent you the pledge?

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* 8. Zip Code

Question Title

* 1. I promise to wear a seatbelt while operating or riding in a vehicle. I hereby pledge this life-long commitment. (type first and last name below)

Question Title

* 2. Age

Question Title

* 3. Gender

Question Title

* 4. What is your race or ethnicity?

Question Title

* 5. Email

Question Title

* 6. School/Organization

Question Title

* 7. List the teacher or advisor who sent you the pledge?

Question Title

* 8. Zip Code

* 1. I promise to wear a seatbelt while operating or riding in a vehicle. I hereby pledge this life-long commitment.
(type first and last name below)