LicensePlate_SmCheck B4U Drive Registration for 2021

 

Here is some general information about our event…

Note 1: Events are limited to 15 participants. (Age 15-19 with valid driver’s license or permit) On a “space available basis”, we will permit a teen with diabetes without a license or permit to participate in all activities but the behind-the-wheel exercises.

Note 2: Driver’s License/Permit, Insurance Requirements: Insurance company requirements require all participants sign a waiver form that will be available for download prior to the event and be available on-site at our registration/sign-in table. Teens under 18 must also have a parent or guardian sign the waiver form.

Once you have registered, additional information will be sent via email reminding everyone to bring their driver’s license, their own diabetes supplies, etc.


For a hard copy registration form, Click Here for Form.

(If using the hardcopy form, fill it out, scan and email it to us at driving@JDNoLimits.org or mail it to the address shown. We’ll add you to our database so you can receive notices by email.)

Back to Check B4U Drive page.  


Register Here

    Parent Email (required)

    Parent First & Last Name (required)

    Address (required)

    City (required)

    State (required)

    Zip (required)

    Home Tel. (required)

    Teen First & Last Name (required)

    Teen Date of Birth (MM/DD/YY) (required)

    Teen Gender(required)
    MaleFemale

    Location(required)
    Chicago (Tinley Park) IL 10/16/21

    Backup Phone Number (required)

    Comments

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