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.

Would you like to receive W2SD planning materials and stickers in the mail? *

Yes

No

In addition to Walk to School Day

Please register me for the next ACES Day (held in May)

Please register me for the next Bike to School Day and ACES Day (held in May)

Please send me more information on Safe Routes to School

Have you participated in ACES Before?

Yes

No

We will send you a .pdf version of the Active Michigan newsletter to send electronically to parents. Would you also like to receive hard copies to send home with students?

Yes, please send hard copies

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: Locations TBA. Venues fill-up quickly and attendance is not guaranteed.

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).