Event / Activity Form

For your use, here is a sign-in sheet and affidavit as described below.

Please note: Phones may not allow photos and files to be uploaded.

School Name*
Date of Event / Activity*
Event / Activity Name*
Duration of Event / Activity in Hours*
Event / Activity Description*
What was the focus of this event / activity?
- Nighttime / Drowsy Driving
- Speeding / Street Racing
- Distractions
- Seat Belt Use
- Impaired Driving
Check all that apply.
Number of Participants*
Please include Planners, Team, and event/activity participants.
Number of Planners*
Number of Planning Hours*
Submitters Name*
Submitters Email*

Will only be used in case of questions / clarification.
Submit Photos
jpg, gif, png or pdf
Photo 1
Drop files here or

Accepted file types: jpg, gif, png, pdf.
Reported Hours Confirmation*
- I confirm reported hours to be true and accurate
By checking this box, I certify that all hours submitted are true and I confirm that the hours can count toward federal in-kind match dollars currently valued at $23.40 per hour, per person. In addition, I will separately provide sign-in sheets (or signed affidavits from my administration) confirming this attendance for the event and for the planning hours leading up to the event. I will provide these to TTI-U in the Driver Seat prior to September 15, 2017. I understand that my school will not be awarded UDS Cup points until these sign-in sheets (or signed affidavits from my principal or superintendent confirming the event and planning hours leading up to the event) are received by the TTI-U in the Driver Seat, San Antonio office. Sign-in sheets or confirmation letters can be mailed, faxed, or emailed to: TTI - U in the Driver Seat, 1100 NW Loop 410, Suite 605, San Antonio, TX 78213, Fax: 210-321-1299, Email: tdswebmaster@tti.tamu.edu
Comments
This field is for validation purposes and should be left unchanged.

Submit Photos