Bike to School Day Registration | Safe Routes to School

Contact Name *

Title

School Name *

Street Address *

(materials are shipped via UPS; please no P.O. boxes)

City *

County *

State *

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.

In addition to Bike to School Day and ACES Day

Please register me for Walk to School Day 2019 (held in October)

Please send me more information on Safe Routes to School

Have you participated in ACES Before?

Yes

No

Would you like to receive Active Michigan newsletters for your students?

Yes, please send the .pdf version to send electronically to parents

Yes, please send hard copies to send home with students

No, thank you

Would you like to receive ACES Day stickers for your students?

Yes

No

Are you interested in attending one of the venue events for ACES Day? *

Yes, please contact me to discuss logistics, including number of students and busing arrangements

No

Please note: venues fill-up quickly and attendance is not guaranteed.

Which ACES venue event are you interested in? *

Michigan State University

University of Michigan

Dow Diamond in Midland

Photo Permission

I hereby grant the Michigan Fitness Foundation the right to use and publish photographs of all those participating in our ACES, Bike to School Day, and/or Walk to School Day event(s).