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Walk & Roll to School Day Registration
Home
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Walk and Roll to School Day 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.
I would like to receive the following materials in the mail
W2SD planning materials and stickers
In addition to Walk & Roll to School Day
*
Please register me for the next
Bike & Roll to School Day
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
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