You Drink & Drive. You Lose.
Judge's Form

The Illinois Judges Association, Illinois State Bar Association, and Illinois State Board of Education have developed an education program in the schools of Illinois to acquaint young drivers with the warning that if You Drink & Drive. You Lose. Judges may be interested in participating in this program in schools. If you wish your name to be on a list of speakers interested in going into schools to teach young drivers about the dangers of alcohol consumption and driving vehicles, please print out this form and snailmail it to Maureen McClelland at

Illinois Judges Association
321 South Plymouth Court
Chicago, IL 60604

info@ija.org

or fill out the following online form and send it.



1. Judge's Name:

2. Address:

3. City and ZIP:

4. Phone Number:

5. E-mail Address:

6. Geographic Area to Which You Will Travel:

7. Preferred Time of Day:


If you have a contact with an area High School that would be interested in the program, please let us know and we will contact them:

8. High School:

9. Address:

10. City and ZIP:

11. Contact Person:

12. Phone Number:



Please or this form.

Thank you for participating in this form.

(Last Update 06-20-02)


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