Student Walking School Bus Registration Form
Sign up your student to walk or roll to school with our Walking School Bus! Complete one form per student.
Student Name *
Your answer
Physical Address
Your answer
What school does your student attend? *
Your answer
What grade is your student currently enrolled in? *
How does your student currently commute to school? *
Select all that apply
Required
How many minutes is your student currently active per day? *
How will your student participate in the Walking School Bus? *
Parent or Guardian Name *
Your answer
Parent or Guardian email address
Your answer
Parent or Guardian phone number
Your answer
List all adults (name and phone number) who are authorized to pick up your student. Only the people listed will be allowed to pick up your student from the Walking School Bus. *
Name and Phone Number
Your answer
Does your student have any allergies or injuries that we need to know about? *
Your answer
How would you like to receive updates about our Walking School Bus? *
Are you interested in volunteering with the Walking School Bus program?
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