Safe Routes to Schools Enrollment Form
hank you for your interest in the Alameda County Safe Routes to Schools program! Schools can join the program by completing this enrollment form, which will be used to determine the most effective implementation of the Safe Routes to Schools program at your school.

If not filled out online, please return to apply@alamedacountysr2s.org or via fax: (510) 788-6465

School Information
School Name
Your answer
School District
Your answer
School Principal
Your answer
Phone
Your answer
Email
Your answer
Fax
Your answer
Application Information
(If different than principal)
Applicant Name
Your answer
Applicant Title/Position
Your answer
Phone
Your answer
Email
Your answer
School Enrollment
Your answer
Number of Classrooms
Your answer
Student Council Teacher Name
Your answer
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