Registration Form
Please provide the following information, so we may register your school in our system and begin providing you with technical support/materials. 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. School Zip Code:
4. School District Name:
5. IWalk/Roll Event Champion:
Our primary contact, the person who will coordinate your event.
6. Phone number for Team Leader:
7. Email address for Event Champion:
8. Title of Event Champion:
e.g., parent, teacher, PTA president, principal, etc.
9. Approximate school enrollment:
10. School start time:
11. School Principal Name:
If different than Event Champion.
12. School Principal phone:
If different than Event Champion.
13. School Principal email:
If different than Event Champion
14. Did you participate in International Walk and Roll to School Day last year?
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15.  What date will you be celebrating your event? *
Required
16. Is your event part of an ongoing walking and/or bicycling encouragement program at your school?
For example, this event kicks off a year-long promotion, there are walk/bike days during the school year, and/or work is being done to improve safety such as sidewalk construction.
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17. Please describe a few unique aspects of your event (such as activities, partners, strategies to make your inclusive, etc.).
Your description may be shared publicly. 500 character limit.
18. How did you hear about Walk to School events?
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