VIEW THE VIDEO BELOW AND THEN COMPLETE THE FORM BELOW THE VIDEO
AAH Group Safety Certification
AAH Group Name
Group Manager Name
Participants Names, Email, if minor add Parent/Guardian(*)
By checking the box at the left, I/We certify that the individuals listed below have participated in, and have reviewed and understand the Adopt a Highway safety materials prior to participation in the Program. If Signatory is between the ages of 16-18, this must also be signed by a Parent or Guardian.
You must view the video AND then check this box to affirm you have watched it before clicking on the Submit Certification button below.
I am not a Robot(*)