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Youth Driver Training / Certification Program Application

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Applicant Information

Safety Test Model

Applicant Name *

Applicant Age *

Applicant Address

Address Line 1

Address Line 2

City

State

Zip Code

EDGE&TA Branch #

Applicant Phone

Test 1

Instructor *

Test Result *

Pass
Fail

Test 2

Instructor *

Test Result *

Pass
Fail

Test 3

Instructor *

Test Result *

Pass
Fail

Test 4

(This test applies only if the student will be entering pulling competition or pulling other equipment.)

Will the student will be entering pulling competition or pulling other equipment.? *

Instructor *

Test Result *

Pass
Fail

Approved for Parade Tractor Pull

Make & Model of Tractor *

If the youth qualifies on more than -1- tractor, add them to list.

I understand my child will be operating a tractor/motorized vehicle at EDGE&TA shows and parades and will be responsible for his/her activities.

Parent or Sponsor Signature *

Clear Signature

Parent or Sponsor Printed Name *

Safety Officer Name *

Safety Officer Email *

Mail the card to

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email *

EDGE&TA Branch #

Submittor Information

Submittor Name *

Submittor Position *

Submittor Email *

Mail form to:
Tina Brown
806 Allisona Road
Eagleville, TN 37060

(615) 556-2332
[email protected]

(All cards will be mailed to the return address unless requested otherwise). Revised: August 7, 2014

This page was last modified: June 8th, 2026

All membership dues and lists are to be sent to the Secretary/Treasurer. Click on the Administration Page to find contact information for the officers.

All correspondence should be directed to the President, any questions should be sent to the Regional Director and all insurance questions to be sent to the Director handling insurance.

All EDGE&TA Membership Correspondence Should be Directed To: Tina Brown – EDGE&TA Secretary | [email protected] | , .