Walk to School Day LA 2017: Registration Form
Your School's Event Date
School Start Bell Time
Please write out the full/formal name. E.g. Shenandoah Street Elementary School
Expected Number of Students Participating
Event Organizers Name
Event Organizer's Phone Number
Event Organizer's Email
Preferred Means of Communication
Main Reason for Hosting the Event
Pedestrian Traffic Safety
Upon completion of this registration, have you already received a walk to school banner?
In general, about how safe would you say children feel walking to or from your school?
The following are safety concerns for students walking to your school (check all that apply)
Big Intersections to cross
Poor quality sidewalks
Lack of traffic safety skills
In addition to Walk to School Day, does your school host other walking and bicycling events, activities or safety education (CHECK ONE OR MORE)
Please connect me with other SRTS-LA resources
I was prompted to register by:
Form submitted by
Environmental Health and Safety Officer
Other School Staff
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