Deadline to submit this report: 5 p.m. Friday, January 16, 2018.

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* 1. School or Youth Group Name:

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* 2. School or Youth Group Address:

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* 3. Estimate the total number of activities completed during the Holiday Campaign:

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* 4. Please highlight several of the activities completed during the Holiday Campaign:  Also, include in the list how the club or youth group thanked students after the campaign for driving responsibly during the holidays and returning safely to school in 2019.

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* 5. Please explain how you used the Winter Driving Tip Cards, Pledge Banners, Posters, and/or ice scrapers provided by YOVASO:

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* 6. Estimate the number of students (at your school or in your youth group) who helped plan and implement campaign activities:

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* 7. Estimate the total number of students (at your school or in your youth group) who participated in one or more Holiday Campaign activities:

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* 8. Estimate the total number of students (at your school) who heard or saw the campaign message (through activities, announcements, posters, social media, etc.)

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* 9. Overall, how would you rate the Holiday Safety Campaign and materials provided by YOVASO for educating youth and teens about traffic safety and responsible celebrations during the holidays?

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* 10. Please list any suggestions for next year's campaign.

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* 11. By submitting this form, I verify that the report is accurate.

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