2016-2017 Club Registration

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* 1. Check one:

We are an existing club re-registering for the new school year.

We are a new club registering for the first year.

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* 2. School name:

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* 3. Primary Sponsor/SRO:

Name and Title

Email Address

Phone Number

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* 4. Secondary Sponsor/SRO (if applicable):

Name and Title

Email Address

Phone Number

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* 5. Name of your club:

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* 6. Please provide your school's enrollment and club membership as accurately as possible:

Current student enrollment at your school:

Total student membership in your club:

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* 7. Does your club have any social media accounts (Facebook, Twitter, Instagram, etc)?

Yes

If so, please list all accounts and handles:

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* 8. How did you hear about YOVASO?

Thank you for your continued membership with YOVASO. Your club's work will help influence a safe driving culture in the school and encourage students to be safer and more responsible driver's and passengers.