Bike & Roll to School Day Registration Bike & Roll to School Day School Registration 2023 Contact Name * Title School Name * Street Address * (materials are shipped via UPS; please no P.O. boxes) City * County * AlconaAlgerAlleganAlpenaAntrimArenacBaragaBarryBayBenzieBerrienBranchCalhounCassCharlevoixCheboyganChippewaClareClintonCrawfordDeltaDickinsonEatonEmmetGeneseeGladwinGogebicGrand TraverseGratiotHillsdaleHoughtonHuronInghamIoniaIoscoIronIsabellaJacksonKalamazooKalkaskaKentKeweenawLakeLapeerLeelanauLenaweeLivingstonLuceMackinacMacombManisteeMarquetteMasonMecostaMenomineeMidlandMissaukeeMonroeMontcalmMontmorencyMuskegonNewaygoOaklandOceanaOgemawOntonagonOsceolaOscodaOtsegoOttawaPresque IsleRoscommonSaginawSt. ClairSt. JosephSanilacSchoolcraftShiawasseeTuscolaVan BurenWashtenawWayneWexford State * AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY 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 & Roll to School Day stickers for your students? (Max of 200 per school. Due to current shipping logistics, registration after April 14 will be unable to receive BR2SD stickers). Yes No In addition to Bike & Roll to School Day Please register me for the next Walk & Roll to School Day (held in October) Please send me more information on Safe Routes to School Event Photography- I hereby grant Michigan Fitness Foundation the right to publish photographs from registered Michigan Safe Routes to School events for this School, such as Bike & Roll to School Day and/or Walk & Roll to School Day. * Yes No Event Photography- I hereby confirm I have the authority to grant this permission to Michigan Fitness Foundation on behalf of this School. * Yes No reCAPTCHA If you are human, leave this field blank.
