The Clean Vehicle Ride & Drive - Fresno 2019 Driver Registration Form
Registration Form for June 22nd, 2019
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Event Overview:
Hosts: Beneficial State Foundation, GRID Alternatives, Fresno City College

Event Contact: Adrian Gomez
                           559-691-1591 | agomez@beneficialstate.org

Event Date: June 22nd, 2019

Event Time: 10am - 2pm

Arrival Time: 8:45am - 9:45am

Event Location: 1101 E. University Ave.
                             Fresno, CA 93741
                             Parking Lot E

EV Driver Guidelines:
AS A PARTICIPATING EV DRIVER PLEASE NOTE:

- You are required to have a valid driver license

-Your vehicle has to have the state minimum automobile insurance
Driver Information:
Name: *
Email: *
Phone: *
Registration:
There will be a centralized pre-registration and liability process. All those who would like to participate in a test drive or ride-along must register at the centralized registration booth managed by the CVA Program team.
Waiver Management:
All those want to participate in a test drive or ride-along will be required to sign a waiver of liability at registration. Once the waiver is completed and driver license has been checked, the participant will be escorted to a vehicle by a volunteer.
Vehicle:
As an EV Volunteer Driver, we ask that you have a fully charged vehicle to be circulating for test drives or ride-alongs for the duration of the event. Please tell us about your vehicle.
Vehicle Year, Make, and Model: *
Driver Documents
As a Volunteer Driver, it is required that you submit the following documents to Adrian Gomez by June 20th, 2019:

- Proof of state minimum auto insurance
- Vehicle Registration
- Driver's License
I understand that thedocuments listed above must be submitted to Adrian Gomez by June 20th, 2019. *
Agreement: I have read, understand, and agree with the terms of participating in this event. *
Required
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