GTSC CarFit Event Submission

Use this request form to have a CarFit event posted on the GTSC website.

1. County: *This question is required.

2. Grant Number of the Hosting Agency:

3. Date (must be submitted at least 5 business days before event):
(If multiple days, this is the starting date.) *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

End Date:
(If the event is over multiple days, this is the final date.) This question requires a valid date format of MM/DD/YYYY.

calendar

4. Time: *This question is required.

Starting Time
Ending Time

5. Location and Contact details: *This question is required.

Location Name

Street Address

City

State

ZIP

Contact Person

Contact Phone Number (in format 555-555-5555)

Contact Email

6. Event sponsor(s):

Sponsor 1
Sponsor 2 (if applicable)
Sponsor 3 (if applicable)
Sponsor 4 (if applicable)

7. Your email address:
(This will be used to confirm your submission.) *This question is required. This question requires a valid email address.

8. Appointment information (if applicable):

Your event will be posted to the GTSC website at http://trafficsafety.ny.gov. When you submit this form, a copy of your response will be sent to you, Robert Lopez, and any other necessary GTSC staff.

New York State Governor's Traffic Safety Committee (GTSC)

CarFit Event Submission Form

GTSC CarFit Event Submission

CarFit Event Submission Form