High School Students - Take the Just Drive Pledge!

Thank you for taking a step toward safer roads for all of us by taking the Just Drive Pledge. Fill in the requested information below, including the name of your school. You will receive a free window cling to place in your car window as a reminder to “just drive.”  The window cling will be mailed directly to the address you indicated within two weeks.

Warning: any information entered on this form is not encrypted and we cannot guarantee its security in transmission.  Please do not include any sensitive health information in this form.  If you prefer, you can contact us at (309) 779-5000.

* First Name:
* Last Name:
Email:
Organization:
* Street:
* City:
* State:
* Zip:
* School:
Alleman High School Annawan High School Assumption High School Bettendorf High School Cambridge Community Senior High School Central High School (DeWitt) Central High School (Davenport) East Moline Christian School Geneseo High School Heritage Christian Senior High School Kimberly Center East & West Moline Alternative High School Moline Senior High School North High School North Scott Senior High School Orion High School Pleasant Valley High School Riverdale Senior High School Rivermont Collegiate School Rock Island High School Rockridge High School United Township High School West High School Sherrard Senior High School Thurgood Marshall Learning Center
* I pledge to Just Drive by:
Not texting or emailing while driving. Not texting or emailing and using a hands-free device while driving. Not using my phone while driving. I will pull over if I need to use my phone.
* Security Code: