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

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

Please fill out one form for each month.

Entry deadlines:
* For March entries, the deadline is April 5.
* For April entries, the deadline is May 3.

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