Week 3 Healthy Living Month 2018 Go Green Week (April 16 - 20)
PLEASE NOTE: ANY FORM SUBMITTED BEFORE APRIL 13 CANNOT BE ACCEPTED.


Dear District 64 Parent/Guardian,

It's Healthy Living Month in Park Ridge - Niles School District 64! Once again, students are invited to participate in this week's themed activity. This week's focus is caring for the Earth.

This "digital pledge card" replaces the old printed pledge cards of previous Healthy Living Months. To show that your student has fulfilled the week's pledge, please check the boxes corresponding to each day of the week. Once you click "Submit" at the bottom of this form, the student's name will be entered into a school raffle for a special Healthy Living Month prize.

THIS FORM WILL BEGIN ACCEPTING RESPONSES ON FRIDAY, APRIL 20, 2018.

Watch for the Week 4 digital pledge card (Screen-Free Week, April 23 - 27).

Be Healthy! Stay Healthy!

District 64 Healthy Living Month Planning Team


PLEASE NOTE: ANY FORM SUBMITTED BEFORE APRIL 13 CANNOT BE ACCEPTED.

Email address *
Week 3 Go Green Week - Pledge Card Activity
What is the student's first name? *
Your answer
What is the student's last name? *
Your answer
Select the student's home school. *
Select the student's grade. *
I did something good for the Earth today (conserved energy, reused, reduced, recycled material, etc.). (BELOW, CHECK ALL THAT APPLY) . . . *
Required
Parent/Guardian Signature . . . By typing your name below, you verify that the above information is true and accurate. *
Your answer
Parent/Guardian Verification . . . By providing your email address here, you verify that the parent or guardian is submitting this form. *
Your answer
Submit
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