Request edit access
Buckle Up Bowl Registration 2020
Compete against other Lorain County high schools to have the highest seat belt rate in the 2020 Buckle Up Bowl. All interventions are student led - we'll supply the materials and you supply the content!
This registration form is due by Friday, February 21, 2020.
-Most creative campaign
-Most improved seat belt usage
-Best overall seat belt usage in Lorain County*
*The winning school for best overall seat belt usage receives a cash prize for classroom enhancements generously donated by the Dominic Zunis Memorial Foundation.
2020 Buckle Up Bowl timeline
February 21: registration due
March 30-April 3: unannounced visual seat belt surveys
April 6-May 1: intervention period (You will receive 2 google forms to complete/upload photos and share what you have done)
May 4-8: unannounced visual seat belt surveys
Week of May 11: Winners announcement
Week of May 18 (TENTATIVE): Buckle Up Bowl student showcase
Do you need help completing the registration or have any questions? Please email aaccordino@LorainCountyHealth.com or call 440-284-3218. You will receive an email confirming your application has been submitted.
The Buckle Up Bowl is coordinated by the Safe Communities Coalition conducted through Lorain County Public Health. "Saved by the Belt" image from Florida Department of Highway Safety and Motor Vehicles.
High School Name
Name of the primary contact for the Buckle Up Bowl
Primary contact email and phone number
Please list any student group/clubs that will be involved.
High School Principal name
High School Principal email
School Resource Officer (if applicable)
Typical school day start time
Number of entrances to school campus
Best days of the week for an unannounced visual seat belt survey (March 30-April 3 & May 4-8). Please check all that apply and leave a comment if needed.
Are you interested in scheduling a Buckle Up Bowl planning meeting to discuss options and generate ideas with the Safe Communities Coalition?
In exchange for your dedication to traffic safety and participation in the 2020 Buckle Up Bowl, the Safe Communities Coalition would like to provide a customized paper material for your school district with a buckle up message. What materials are you interested in receiving?
Basketball game tickets
Graduation program insert
Report card inserts
How many paper materials do you need printed?
When would you like to receive the paper materials? Is there a color or theme you'd like to follow? Please describe the material.
Please check interventions you are interested in that Safe Communities Coalition can provide for you
Traffic safety magnets
Traffic safety yard signs
Traffic safety banners
Social media messaging
Canned announcement messages
Prize wheel during lunch or at sporting event (between April 6-May 1)
Tent during spinning wheel during lunch or at sporting event (between April 6-May 1)
Please check interventions that your school and students might be interested in creating and/or coordinating
create a logo for the Buckle Up Bowl
crashed car on campus
create a video on responsible driving (two minutes or less) using #BuckleUpLoCo or "I buckle up, do you?"
create a meme on responsible driving using #BuckleUpLoCo
social media takeover using #BuckleUpLoCo
design a Snapchat filter on responsible driving using #BuckleUpLoCo
organize a mock car crash
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Lorain County Public Health.