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Walking School Bus Survey
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* Indicates required question
Parent/Caregiver Name
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
School
*
El Marino Language School
El Rincon Elementary
Farragut Elementary
La Ballona Elementary
Linwood E. Howe Elementary
Culver City Middle School
Other:
Required
Culver City Neighborhood
Blair Hills
Blanco Park
Clarksdale
Culver Crest
Culver West
Downtown Culver City
Lakeside
Fox Hills
McLaughlin
Park East
Park West
Raintree
Rancho Higuera
Studio Village (Lindberg Park)
Tara Hill
Sunkist Park (El Marino)
Veterans Park
Other:
Clear selection
Are you interested in participating in a Walking School Bus?
*
Yes, I'd like my child to participate (please add your address below)
Yes, and I'd like to volunteer sometimes
Yes, and I'm interested in being a Walk Leader
No, I'm not interested in participating
Other:
Address (if interested in joining a walking school bus)
Providing your address is optional but will help us plan routes to school
Your answer
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