Student Trip Reduction Program Drawing
This drawing is open to Mesa Public Schools juniors and seniors who use alternate modes of transportation to school - walking, biking, riding a bus or carpooling.

Mesa Public Schools will have two drawings for a $25 Target gift card to encourage students to help clean our air by using alternate modes of transportation to school.

One prize will be awarded for April participants, and a second prize will be awarded for May.

How to enter:
* Walk, bike, carpool or ride a bus to school at least two times in April and/or May.
* Complete this form.

Please fill out one form for each month.

Entry deadlines:
* For April entries, the deadline is April 30.
* For May entries, the deadline is May 14.

Questions? Call (480) 472-0223.
Check the month in which you are participating. *
Student Name *
Address *
Home/Cell Number *
School *
Grade Level *
Mode of transportation
(Respond to all modes of transportation that apply.)
Walk
Number of days you walked?
Bike
Number of days you rode a bike?
School or City Bus
Number of days you rode the bus?
Carpool
Number of days you carpooled?
If you carpooled, with whom did you carpool?
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