Walk 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.

Please register me for: *

ACES Day only

Walk to School Day (automatically signs a school up for ACES Day)

The next Bike to School Day

More information on Safe Routes to School

I would like to receive the following materials in the mail

W2SD planning materials and stickers

ACES Day stickers for your students

Have you participated in ACES Day before?

Yes

No

Are you interested in hosting a Farm Bureau agent at your ACES Day? *

Yes, please contact me to discuss logistics

No

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).