School Enrollment Form
Thank 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. Once completed, schools are eligible to receive all of our free services and activities.
School Information
School Name *
Your answer
School District *
Your answer
School Principal's Name *
Your answer
Phone *
Your answer
Email *
Your answer
Applicant Information
(If different than principal)
Applicant Name
Your answer
Applicant Title/Position
Your answer
Phone
Your answer
Email
Your answer
School Enrollment *
If you don't have this information, please estimate.
Your answer
Number of Classrooms *
If you don't have this information, please estimate.
Your answer
Student Council Teacher Name
If applicable.
Your answer
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This form was created inside of Alta Planning + Design.