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 includea 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.
If you accept the following conditions of the award program, please indicate your acceptance by checking each box.
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 for Drivers Education.