Request edit access
Bike to School Week 2024 - Student Registration
Register here to tell us how many kilometers you plan to bike to and from school between June 3-7, and you will be entered into a random draw for a chance to win one of fifty $15 gift certificates to Dairy Queen or one of ten active transportation prize packages supplied by our local municipalities.
Sign in to Google to save your progress. Learn more
Student First Name *
School Name *
Parent Name *
Parent Email (to be used to distribute prizes only). *
Number of kilometers you will bike to and from school between June 3-7 *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of WATERLOO REGION DISTRICT SCHOOL BOARD.

Does this form look suspicious? Report