YOUTH OF VIRGINIA SPEAK OUT ABOUT TRAFFIC SAFETY 2014 SAVE YOUR TAIL-GATE, BUCKLE UP CAMPAIGN

YOUTH OF VIRGINIA SPEAK OUT ABOUT TRAFFIC SAFETY 2014 SAVE YOUR TAIL-GATE, BUCKLE UP CAMPAIGN

SYT CAMPAIGN REGISTRATION & ORDER FORM Yes, our school will participate in the 2014 Save Your TAIL-Gate, Buckle Up Campaign and compete for prizes Yes, our school will participate in the 2014 Save Your TAIL-Gate, Buckle Up Campaign, but not compete for prizes Name of School: School Address: School Telephone: Current Student Enrollment for the School: Number of Students in your Club: SRO/Sponsor Name (should be individual assisting students with the campaign): Telephone: E-Mail: Choose one of the options below. Please note that deadlines vary between Period 1 and Period 2. Participants of Period 1 and Period 2 will be competing against one another in one competition. Our school will be participating in Period 1 of the campaign which runs from September 15 to October 3. Our school will be participating in Period 2 of the campaign which runs from September 22 to October 10. Item Max Per School Quantity Ordered Pledge Cards 500 Tip Card 250 Temporary Tattoos 100/200* Key Chains 100/200* Mini Stress Reliever Footballs 100 Pens 50 Campaign Posters 5 SYT Banner 1 *Schools with 900 or more students can receive 200 temporary tattoos and 200 key chains. Campaign Sponsor Agreement: By returning this form, I agree to abide by the rules of the Save Your TAIL-Gate, Buckle Up Campaign, adhere to all deadlines, and complete and return the final report form. Sponsor/SRO Signature Enter online at yovaso.org. Period 1 participants must submit form by 5:00pm on September 5. Period 2 participants must submit form by 5:00pm on September 12.

Campaign Components Overview The Save Your TAIL Gate, Buckle Up Challenge kicks off September 15 and runs until October 10, 2014. To accommodate all Virginia school start dates, schools will be competing in the same campaign but can choose which time period they would like to enter. Non competing schools may also select their preferred time period. Period 1 runs from September 15 to October 3, 2014. Period 2 runs from September 22 to October 10, 2014. The campaign is a competition between participating Virginia schools to increase overall seat belt use among teenagers and youth. Schools that wish to participate in the campaign but cannot complete all components may do so without competing. The goal is to encourage students to form a life long, buckle up habit. The campaign is sponsored by YOVASO, the Virginia State Police Association (VSPA), and the Virginia Department of Motor Vehicles Highway Safety Office. The Allstate Foundation and Safe Kids of Central Virginia will co sponsor the 2014 campaign through a generous grant. Both organizations have resources available for your schools: o The Allstate Foundation has numerous agents, employees and volunteers interested in participating in your activities and tail gating events. Contact YOVASO to request support from the Allstate Foundation. o Safe Kids encourages your student leaders to provide seat belt and occupant protection safety programs to preschool and elementary aged children in their communities. These student leaders are role models for our youth and can have a significant impact on encouraging positive safety behaviors in a vehicle. Campaign Components for Competing Schools During the campaign, participating schools must complete all four of the following components to be eligible for prizes. 1. (2) Seat Belt Checks. Check 1 must be held during week 1 of the campaign. This is a kick off for the school campaign to get a preliminary seat belt usage rate for the school. At least 100 vehicles must be surveyed and the check cannot be announced or publicized to the student body. (Seat Belt Check instructions and survey forms are enclosed.) Small schools with less than 100 vehicles should check as many cars as possible. Check 2 must be held during the final week of the campaign. This will be a wrap up for the campaign and should be compared to week 1 results to determine if seat belt use increased. *If administration will not allow participating middle school students to conduct seat belt checks, schools will not be penalized during the winner selection. This must be indicated on the final report. Middle schools are encouraged to contact local law enforcement to complete the pre and post checks, if needed. 2. Home Football Game Activities. The Save Your TAIL Gate, Buckle Up Campaign runs during football season. Home football games are an excellent opportunity to remind students to buckle up and drive safely. Many students drive to and from these games and often cruise with their friends afterwards so this is a prime time to reach them. Ideas may include an informational safety booth where students can register to win prizes, safety announcements or a buckle up contest at half time, dressing the school mascot with a seat belt, or other unique ideas. This is also a great opportunity to reach parents and the community. 3. Call to Action Activities. These activities should be held during the school day to promote the use of safety belts among students and faculty. Activities should occur throughout all three weeks of the campaign. Buckle up posters, school announcements, distribution of literature, and articles in the school newsletter are a few ways seat belt use may be promoted. Presentations for preschool and elementary school students may be included in these activities.

4. Buckle Up Petition & Pledge Cards. Encouraging students to sign a petition pledging to always buckle up and to encourage others to buckle up as well is an important aspect of the campaign. All students who sign the pledge will get a pledge card to keep as a reminder. Students may only sign the pledge once. Faculty may also be encouraged to sign the pledge, but are not included in the total count. (The Buckle Up Petition Form is attached and should be copied to allow enough signature lines for all students and faculty.) Campaign Components for Non Competing Schools Schools that want to participate in the campaign but not compete for prizes do not have to complete all of the above campaign components. Non competing schools may pick one or more of the components to complete based on their schools needs and resources. Guidelines All rules and deadlines of the campaign must be strictly followed. YOVASO reserves the right to disqualify a competing school for failure to follow the rules, guidelines, and/or deadlines. YOVASO also reserves the right to request original copies of any creative ideas, seat belt survey forms, and buckle up petitions as needed. Photos may also be requested for the judging panel. Please keep copies of all forms documenting your results. Late reports will not be accepted. Campaign Winners & Prizes All cash prizes and the surprise recognition celebration are funded by a grant from the Allstate Foundation There will be a middle and high school bracket for the Save Your TAIL Gate, Buckle Up Campaign. Middle Schools The winning school will receive a $500 cash prize, banner and plaque. The second place school will receive a $250 cash prize, banner and plaque. The third place school will receive a $100 cash prize, banner and plaque. High Schools The winning school will receive a Surprise Recognition Celebration for the entire school. This celebration will be approved by school administration and may include a tail gate party at a home football game, a pre game celebration at a home basketball game or other school party with free food, music, entertainment, and prizes. A Grand Prize Winner banner and plaque will also be presented to the school. The runner up school will receive a $250 cash prize, banner and plaque. The third place school will receive a $100 cash prize, banner and plaque. Winner Selection Schools must complete all four components of the campaign and meet all deadlines to be eligible to win campaign prizes. A final report must be submitted to YOVASO. YOVASO Staff encourages schools to submit pictures, videos, media coverage, etc. with their final report. Clubs may upload these items to their Facebook, the YOVASO Flickr account, YOVASO YouTube account or email them to YOVASO staff. Flickr login information: username: yovaso2001@yahoo.com password: Buckleup2001 YouTube login information: username: yovaso2001@gmail.com password: savelives

Winner Announcement The winners of the Save Your TAIL Gate, Buckle Up Challenge will be informed on Friday, October 17, 2014, by YOVASO staff. Staff will work with the school to schedule publicity and presentation of the prizes. Deadlines All reports should be completed online at yovaso.org. PERIOD 1 Friday, September 5, 2014 Monday, September 15, 2014 Friday, October 3, 2014 Wednesday, October 8, 2014 Friday, October 17, 2014 Registration & Order Form must be received by 5:00 PM Campaign Kicks Off Campaign Ends Final Report must be received by 5:00 PM Winners Announced PERIOD 2 Friday, September 12, 2014 Monday, September 22, 2014 Friday, October 10, 2014 Wednesday, October 15, 2014 Friday, October 17, 2014 Registration & Order Form must be received by 5:00 PM Campaign Kicks Off Campaign Ends Final Report must be received by 5:00 PM Winners Announced Campaign Contacts For questions or help with the Save Your TAIL Gate, Buckle Up Campaign please call YOVASO at 540 345 0003. Or email a YOVASO staff member Mary King at maryking@yovaso.net Sarah Obenauer at sarahobenauer@yovaso.net Sarah Westphal at sarawestphal@yovaso.net Blair McGee at blairmcgee@yovaso.net You may also access the campaign packet online at yovaso.org.

Driving Facts and Stats Age Group: 16 20 year olds Year: 2013 The Numbers: 64 teens were killed 7,747 teens were injured 1,091 teens were seriously injured 38 (59%) of the teens killed were unrestrained Teen Driver Facts: 23,961 crashes involved a teen driver 84 fatal crashes involved a teen driver 8,465 injury related crashes involved a teen driver 37 teen drivers were killed in crashes 5,405 teen drivers were injured in crashes 700 teen drivers were seriously injured in crashes 21 (57%) of the teen drivers killed were unrestrained Top Causative Factors in the 2013 Fatal Crashes Involving a Teen Driver: 49% (41) of the fatal crashes involved excessive SPEED 48% (40) of the fatal crashes were caused by RUN OFF THE ROAD 21% (18) of the fatal crashes were ALCOHOL related 18% (15) of the fatal crashes were caused by DRIVER DISTRACTION Source: Virginia Highway Safety Office

School Announcements and Seat Belt Statistics Please use the following suggestions or create your own school announcements about the Save Your TAIL Gate, Buckle Up Campaign. Sample School Announcements: 1. Hi, this is and I am with the school s Club. We need your help to win a high school buckle up challenge and some neat prizes for our school. Your participation does count and all you have to do is wear your safety belt every time you get in a car and pledge to always buckle up. The campaign is called Save Your TAIL Gate, Buckle Up and it is a seat belt challenge between high and middle schools in Virginia. The school with the highest percentage of students buckled up, the most signed buckle up pledges, and the most creative safety belt activities will win the challenge. If we win, we could receive a free grand finale party or other fun celebration for the entire school. So start wearing your safety belt every time you get in a vehicle and please sign the petition to always buckle up that we will be passing around. The competition is being sponsored by Youth of Virginia Speak Out About Traffic Safety (YOVASO), the Virginia State Police Association, the Allstate Foundation, and Safe Kids of Central Virginia. We will be checking to make sure everyone is wearing a safety belt, so please buckle up. 2. The Club wants everyone to make it safely through this school year. Please remember to always buckle up and encourage your friends and family to do the same. Buckling up only takes a second and it is a habit that can save your life. 3. Please show your school pride and buckle up on every ride. Your support will help our school win the annual Save Your TAIL Gate, Buckle Up Campaign, earn great prizes for our school, and make us a winner by staying safe. 4. The Club wants you to start a habit of buckling up every time you get in a vehicle. Please sign our buckle up petition and the buckle up pledge card. Wearing a seat belt only takes a second and it could save your life during a crash. Be a Buckle Up All Star! Statistics/Facts: 59 percent of the teens killed in Virginia crashes in 2013 were not wearing a safety belt. That is 38 teens who may be alive today if they had worn their safety belt.* When worn correctly, seat belts are about 50 percent effective in saving your life in a crash.** Safety belts are your best defense against death and serious injury in a traffic crash. You are twice as likely to die or sustain serious injury in a crash if you are unbelted.** Males are 10% less likely to wear seat belts than females.** Remember to wear your seat belt correctly. The shoulder harness should fit snugly and fit across the collarbone and chest not the neck or face. The lap belt should also fit snugly and fit low across the hips not ride up on the stomach.** Airbags do not replace the need for safety belts. When used with safety belts, airbags further reduce the risk of death or injury in the event of a crash.** *Virginia Highway Safety Office **Centers for Disease Control and Prevention

Call to Action Activity Ideas Conduct quick surveys or focus groups with diverse groups of students to determine what attitudes exist at your school about seat belt use and what messages and programs the students believe will encourage teens to buckle up. Contact the local police department or sheriff s office to request a seat belt enforcement patrol near the school as students arrive in the morning or depart in the afternoon. The enforcement period should be held after the pre-seat belt check and after educational activities have kicked off. The enforcement will help remind students of the importance of buckling up and reinforce the educational messages of your campaign. Design posters that remind students to buckle up. Display them in school or in the school parking lot. Send a text message, a tweet, or a Facebook message to students on the weekend reminding them to buckle up. Ask teachers to write buckle up reminders on their chalkboards or whiteboards. Select one or two teachers and ask them to develop a lesson plan on seat belts for one of their classes. Physics, art, writing, and health classes are good choices. Sample safe driving lesson plans can be found on the YOVASO website at yovaso.org Find students who have survived a crash or had a family member that survived a crash because of seat belt use and have different survivors make a Saved by the Belt announcement each morning. Also use their stories in the media, in school newsletters, and on social media to convince others to buckle up. Design the school bulletin board around a safety belt theme. Place a buckle up reminder on the school marquee. Announce the campaign at half-time of home football games and encourage everyone to buckle up. Set up a buckle up for safety educational table at a home football game. Include free giveaways or a raffle. Insert a seat belt flyer or tip card in the football programs for each home football game. Place buckle up decals on football team s helmets Write or tape traffic safety messages onto small footballs and toss them out at half time of a home football game. Ask your local radio stations and hometown newspapers to promote your school s participation in the Save Your TAIL-Gate, Buckle Up Campaign. Ask them to include educational information about seat belts. Conduct buckle up pledge signings and enter names of students who sign the pledge in weekly drawings for prizes. Design and update a social media account that promotes the campaign and seat belt use. Organize a white out at a home football game encouraging students and fans to wear white in support of seat belts. Design a Seat Belt Wall of Shame to highlight statistics and fatalities caused by lack of seat belt use. Perform skits or hold a talent show featuring the benefits of wearing a seat belt and the negative effects of being unbuckled. Write down the license plate numbers of everyone buckled up during seat belt checks and place the numbers in a bowl. After the check is over, draw one number from the hat to receive a prize. Work with the school s journalism class or newspaper to write an article or entire newspaper focusing on seat belt safety. Work with teachers of math, science and sociology classes to have students conduct surveys and gather data about seat belt use and use this in a presentation for those classes or for the entire school. Work with physics teachers and have students do a class-wide or school-wide crash experiment. Work with local businesses and restaurants to gain their support. Just placing a poster in the window will gain attention. Hold a parent-teen driving night to increase awareness and start a traffic safety dialogue between parents and teens. Sponsor a dance or pep rally encouraging traffic safety. You could even host a safe and alcohol-free tailgate. Team up with other school prevention clubs to combine efforts and reach a larger and more diverse group of students.

Buckle Up Pledge Petition I pledge that every time I am in a vehicle I will buckle up and I pledge that I will encourage my friends and family to buckle up as well. I realize that buckling up can save my life. NAME (circle one) NAME (circle one) Total Student Signatures: Instructions: 1. Each student or faculty member may only sign the petition one time. Only student signatures should be counted in the total. 2. Each person who signs the petition receives a Buckle Up Pledge Card to keep as a reminder. 3. Tabulate the number of student signatures and calculate the percentage rate based on school enrollment. Include these figures on the Final Report. Do not send copies of this form with the report. ** Please make enough copies of this form to ensure a signature line for every student/faculty member **

Seat Belt Survey Rules Description: For this phase of the campaign, a team of students and sponsors will be posted in the school parking lot to survey vehicles of students as they arrive at school in the morning. One survey will be held during Week 1 of the campaign. The second survey will be held during Week 3, the final week of the campaign. The team will survey each vehicle to see if drivers and passengers are buckled up and then record the results. The results will be reported to YOVASO on the Final Report. Rules: 1. Two (2) seat belt checks/surveys must be held at the school to be eligible to win campaign prizes. 1 check to be held on any day during Week 1 of the campaign 1 check to be held on any day during Week 3 of the campaign 2. The day, time, and location of the check cannot be announced or disclosed to the student body. The campaign goal is to convince students to buckle up every time they get in a motor vehicle not just for a seat belt check. 3. No signs, banners, posters or other publicity can be displayed at or near the seat belt check location to prewarn students that a seat belt check is taking place. There must be a surprise element in order to get an accurate count of students who are automatically buckling up without being prompted to do so. 4. You must check enough vehicles (at least 100) to completely fill out two of the enclosed seat belt survey forms for each week of the campaign. The vehicles checked must be consecutive, meaning you can t skip cars. * If your school is small and you have less than 100 cars for the checkpoint, please indicate that on your seat belt survey form and you will not be penalized. **Middle schools are encouraged to ask their resource officer and police/sheriff s office to conduct the checks if administration doesn t allow students to do seat belt checks. Middle schools won t be penalized if they are unable to complete this component due to school rules. 5. You will be counting vehicles buckled up, not individual occupants. Everyone in the vehicle must be buckled up in order to circle a (y) yes in the buckle up box for that vehicle. For future checks, you are allowed to tell drivers/passengers that everyone must be buckled up for the vehicle to be counted as a yes. 6. Vehicle drivers and occupants must be buckled up when they drive up to the check. Occupants seen buckling up as they drive up or after they are stopped do not count as being buckled. 7. If there are occupants in the bed of a pickup truck, those occupants are to be considered unbuckled, and the vehicle will be circled on the survey form as a (n) no. 8. Schedule an adequate number of students to work at each seat belt check. This will cut down on traffic back ups and will also enable you to survey a vehicle before the occupants can cheat and buckle up after they notice a check is being held. Request help from your school resource officer and/or your local police department to help the checks run smoothly and safely. 9. At the end of each weekly seat belt check, tabulate the results and record them on the Final Report. Do not send individual copies of the surveys. YOVASO reserves the right to request these items, if needed. Please keep all copies for your records. If you have questions about the Seat Belt Survey Rules or how to conduct a survey, please call YOVASO at 540 345 0003 or e mail a staff member.

Seat Belt Usage Survey Form Week: Seat Belt Check (enter week 1 or 3) Name of School: Survey Date: Survey Time: Survey Location: Number Vehicles Surveyed: (must be at least 100 unless exempt due to school size) Check here if you were not allowed to conduct seat belt checks by school administration DIRECTIONS: For each box, circle Y or N. Circle Y if ALL occupants (drivers and passengers) are buckled up in the car. Circle N, if one or more occupants in the car are not wearing a seatbelt or if they are riding in the back of a pickup. Vehicle Vehicle Vehicle Vehicle Vehicle Vehicle Vehicle Vehicle Vehicle Vehicle Total Vehicles with all Passengers Belted Total Vehicles surveyed = % buckled up Make enough copies of this form for both seat belt checks. You must check a minimum of 100 vehicles during each survey unless exempt due to school size. Have enough students surveying so that the check runs smoothly and results are accurate. Fill in this information on the Final Report. Do not send copies of this form. Keep these forms in your files. SRO/Sponsor Signature verifying results

Final Report Name of School: List and briefly describe activities completed: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. How are you submitting photos? Facebook Email YOVASO Flickr YOVASO YouTube Media Coverage and Social Media: Yes No Explain: Funding/Donations: Yes No List funding/donations: Impact: Estimate how many were impacted by your campaign in the school and community. Adults Students Student Leaders: Estimate how many students helped prepare for and participate in the campaign. Students By signing this form, I verify that the report is accurate and that all the rules for the Save Your TAIL Gate, Buckle Up Campaign were strictly followed. SRO/Sponsor Name Signature Period 1 participants must submit form by 5:00 PM on Wednesday, October 8. Period 2 participants must submit form by 5:00pm on Wednesday, October 15.