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* 1. Check one:

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* 2. Date:

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* 3. School Division Name:

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* 4. School name:

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* 5. Primary Sponsor/SRO:

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* 6. Secondary Sponsor (if applicable):

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* 7. School SRO:

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* 8. Name of your club:

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

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* 10. School Information:

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

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* 12. 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 drivers and passengers.  

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