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.
What school does your student attend?
What grade is your student currently enrolled in?
How does your student currently commute to school?
Select all that apply
Dropped off by family vehicle
Carpool with other students
How many minutes is your student currently active per day?
2 hours or more
How will your student participate in the Walking School Bus?
Roll - scooter, skateboard
Parent or Guardian Name
Parent or Guardian email address
Parent or Guardian phone number
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
Does your student have any allergies or injuries that we need to know about?
How would you like to receive updates about our Walking School Bus?
Are you interested in volunteering with the Walking School Bus program?
Not sure-Send me information
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