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Distracted Driving Pledge
Presented by: The Collegiate Life Investment Foundation & C.A.R.E.S Club
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1.
I pledge to immediately refrain from any use of mobile devices while operating any form of transportation. I am committed to ending the negative repercussions of Distracted Driving by being a focused, responsible driver. I hereby pledge this life-long commitment.
(sign name below)
(Required.)
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2.
Contact information
(Required.)
School/Organization
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Grade (if applicable)
Email Address
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3.
Gender
(Required.)
Female
Male
Non-Gender Specific
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4.
Age
(Required.)
12 and under
13 to 17 years old
18 to 30 years old
31 to 50 years old
51 to 65 years old
65 and older
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5.
I would like to be added to the CLIF list serve
(Required.)
Yes
No