Arrive Alive Middle School Registration & Order Form

To receive materials prior to the campaign start date, complete this form by 5:00 PM on February 14, 2025. Schools and youth groups may register at any time; however, materials are available on a first come, first served basis.

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Our school or youth group will take part in the 2025 Arrive Alive Project by... *
Please note: If you are unsure which level of participation is best for your students, you can always notify us during the project to change your selection. Likewise, you won't be penalized if you elect to compete and do not complete all of the components. We're so glad you're participating! :)
Name of Middle School or Youth Group: *
Address: *
Please include city or town, state, and zip code
Phone Number: *
Adult Sponsor
This should be the individual assisting students with the project.
Name: *
Phone Number: *
Email Address: *
Current Student Enrollment for the School or Youth Group: *
Number of Students in your club or youth group: *
Number of Male Members in your club or youth group: *
Number of Female Members in your club or youth group: *
Project Materials
How many "mini" cards with Tips to “Keep Your Vibe Alive” would you like to order? *
How many "Arrive Alive - It's a Whole Vibe" pledge banners would you like? *
How many sunglasses with a safety message would you like to order? *
Funded by State Farm
How many “Arrive Alive – It’s a Whole Vibe” rubberized wristbands would you like to order? *
Funded by State Farm
How many posters with Tips to "Keep Your Vibe Alive" would you like to order? *
Project Sponsor Agreement:
I agree to abide by the rules of the Arrive Alive Project and submit the Final Campaign Report via Survey Monkey. *
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