International Walk & Roll to School Day Registration, Sonoma County Safe Routes to School Program
Please provide the following information, so we may count your school and provide you with promotional materials and technical support if needed. Note: When you submit the completed form, a confirmation page should appear. If the page appears blank, please scroll up to see the confirmation!  Thank you!
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1. School Name *
2. School City *
3. IWalk/Roll Event Champion (Our primary contact, the person who will coordinate your event) *
4. IWalk/Roll Champion email address *
5. IWalk/Roll Champion Phone number (mobile preferred) *
6. IWalkl/Roll Champion Title (ie.g., parent, teacher, PTA president, principal, etc.) *
7. Approximate School Enrollment *
8. School Start Time *
Time
:
9. School Principal Name (if same as event champion, write "same") *
10. What Date will you be celebrating your event? *
Required
11. Please check EACH of boxes below to confirm that you WOULD LIKE a supply of each the following promotional items. If you have a specific quantity request, let us know in question #12.   *
Required
12. A supply of the above confirmed promotional items will be delivered to registered sites in mid-September. If you would like to request a different or specific quantity of any of the above listed items, such as additional posters or pencils, please let us know below, and we will do our best to accommodate you.  *
14. Please describe a few unique aspects of your event (such as activities, strategies to make your event inclusive, meet up spots, etc.). *
15. If you are not already enrolled in the in the Sonoma County Safe Routes to School Program for the 2026-27 school year, would you like to enroll? Enrolling provides eligibility to receive SRTS education services such virtual or in-person bicycle/pedestrian safety education and more.  If you indicate yes, we will contact you re: services we are able to provide this year. *
16. How did you hear about the International Walk and Roll to School Day event? *
17. Do you have any additional questions?  
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