2026 Georgia Safe Driving Summit Registration Contact Person/Chaperone Information School/Organization Name First Name Last Name Phone Email T-shirt Size SmallMediumLargeX-LargeXX-LargeShirt sizes are guaranteed if registering before August 21. Dietary RequirementsVegetarianVeganFood AllergiesOther Please describe allergies/other dietary requirements Emergency Contact Information Emergency Contact Name Please list someone (can be family member or friend) who we can contact in the case of an emergency. Phone Would you like to add another chaperone/adult attendee?YesNo Additional Chaperone/Adult Attendee First Name Last Name Registrant TypePlease select... Teacher Parent Staff T-shirt Size SmallMediumLargeX-LargeXX-LargeShirt sizes are guaranteed if registering before August 21. Dietary RequirementsVegetarianVeganFood AllergiesOther Please describe allergies/other dietary requirements Student/Attendee Information First Name Last Name Student Grade LevelPlease select... 6th grade 7th grade 8th grade 9th grade 10th grade 11th grade 12th grade T-shirt Size SmallMediumLargeX-LargeXX-LargeShirt sizes are guaranteed if registering before August 21. Dietary RequirementsVegetarianVeganFood AllergiesOther Please describe allergies/other dietary requirements In conjunction with registering for the Summit, I grant permission to the Youth Transportation Safety Program (YTS) and Texas A&M Transportation Institute (collectively "TTI") to take and use visual/audio images of me as part of ongoing communication efforts to advance the YTS Program. "Visual/audio images" includes any type of recording whatsoever, including but not limited to photographs, digital images, drawings, renderings, voices, sound or video recordings, audio clips or accompanying written descriptions. I agree that TTI owns the images and all rights related to them. I understand that the images may be used in video and audio productions, public service announcements, on the TDS or UDS websites, and any other uses deemed appropriate by TTI, without compensation or notification. I waive any right to inspect or approve the finished images or any printed or electronic matter that may be used with them. I release and hold harmless TTI, its employees and agents from any claim, damages, or liability for any violation of any personal or proprietary right I may have in connection with such recording or use. I freely and voluntarily consent to the use and publication of the images by TTI from this date forward until I revoke this consent in writing. If I am under the age of 18, I confirm that I will submit the YTS video/photo release form signed by a parent or legal guardian.Yes, I agree reCAPTCHA helps prevent automated form spam. The submit button will be disabled until you complete the CAPTCHA. {{#message}}{{{message}}}{{/message}}{{^message}}Your submission failed. The server responded with {{status_text}} (code {{status_code}}). Please contact the developer of this form processor to improve this message. Learn More{{/message}}{{#message}}{{{message}}}{{/message}}{{^message}}It appears your submission was successful. Even though the server responded OK, it is possible the submission was not processed. Please contact the developer of this form processor to improve this message. Learn More{{/message}}Submitting… Contact Information
