Presented by: C.A.R.E.S ClubTN

Our mission is to establish and assist teen-managed advocacy programs in high schools throughout the Mid-South that focuses on traffic safety education, unsafe driving practices and emphasizes on preventive ways to decrease crashes, injuries, and fatalities amongst teen drivers.

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1. Full Name

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2. Age (Required.)

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3. Gender (Required.)

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4. Email

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5. School/Organization

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6. Zip Code (Required.)

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7. What is your race or ethnicity? (Required.)

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8. How often do you drive a motor vehicle (Required.)

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9. When DRIVING a vehicle, how often do you wear your seat belt?) (Required.)

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10. As a PASSENGER, how often do you wear your seat belt? (Required.)

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11. Which one of the following encourages you to wear your seatbelt (click all that apply)? (Required.)

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12. Did you know that Tennessee has a law requiring the wearing of seat belts by drivers and passengers? (Required.)

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13. How likely is it that you will wear your seatbelt after learning about seatbelt awareness through the C.A.R.E.S Program? (Required.)

 
Very Likely
Likely
Somewhat Likely
Not Likely

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