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Bike & Roll to School Day Registration
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Bike & Roll to School Day Registration
Bike & Roll to School Day School Registration 2022
Contact Name
*
Title
School Name
*
Street Address
*
(materials are shipped via UPS; please no P.O. boxes)
City
*
County
*
Alcona
Alger
Allegan
Alpena
Antrim
Arenac
Baraga
Barry
Bay
Benzie
Berrien
Branch
Calhoun
Cass
Charlevoix
Cheboygan
Chippewa
Clare
Clinton
Crawford
Delta
Dickinson
Eaton
Emmet
Genesee
Gladwin
Gogebic
Grand Traverse
Gratiot
Hillsdale
Houghton
Huron
Ingham
Ionia
Iosco
Iron
Isabella
Jackson
Kalamazoo
Kalkaska
Kent
Keweenaw
Lake
Lapeer
Leelanau
Lenawee
Livingston
Luce
Mackinac
Macomb
Manistee
Marquette
Mason
Mecosta
Menominee
Midland
Missaukee
Monroe
Montcalm
Montmorency
Muskegon
Newaygo
Oakland
Oceana
Ogemaw
Ontonagon
Osceola
Oscoda
Otsego
Ottawa
Presque Isle
Roscommon
Saginaw
St. Clair
St. Joseph
Sanilac
Schoolcraft
Shiawassee
Tuscola
Van Buren
Washtenaw
Wayne
Wexford
State
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip Code
*
Email
*
Phone Number
*
How Many Students Will Be Involved?
*
This is the number we use to determine the amount of materials to send to your school
Grades
Example: K-2, K-5, K-6, 6-8, etc.
Would you like to receive Bike to School Day stickers for your students? (Max of 200 per school. Due to current shipping logistics, registration after April 13 will be unable to receive B2SD stickers).
Yes
No
In addition to Bike to School Day
Please register me for the next
Walk to School Day
(held in October)
Please send me more information on Safe Routes to School
Photo Permission
I hereby grant the Michigan Fitness Foundation the right to use and publish photographs of all those participating in our Bike to School Day, and/or Walk to School Day event(s).
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