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* 1.
Name of Your School or Youth Group:

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* 2. Use this space to describe in detail the Creative Event your school or youth group completed. Be sure to include how students were impacted by the event, the level of creativity that went into the event, and how you incorporated the Drive for Change: Buckle Up and Slow Down campaign theme.

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* 3. Student Leadership:

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* 4. Student Participation:

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* 5. Total Reach: 

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