I certify that all information on this form is true and complete to the best of my knowledge. If asked by any authorized official of Drive Alive, I agree to give documentation for information given on this form.
I realize that this proof may include
a copy of a U.S. tax return.
The information that I have reported on this application is, to the best of my knowledge, true and correct.
I have accurately recorded my activity involvement and financial information. I understand that incorrect or incomplete information could jeopardize consideration of this application.
(If under age 18) I certify that I have shared the contents of this online application with my parent or guardian and he/she has granted permission for my participation in the Drive Alive Taylor Memorial Award program.
Should I win the award, I agree to contact and schedule my driver education course with the course provider within six months of winning the award.
By entering my name below, I officially indicate my agreement and give my consent to all of the above terms and conditions of the Drive Alive Taylor Memorial Award.