School Name (required) School District (required) School Contact Name (required) School Contact Title Email (required)
How many students require materials written in Spanish?
Please select the events you would like to participate in next school year: Walk to School Day (October 5th, 2022)Winter Walk to School Month (February 2023)Bike to School Day (May 3rd, 2023)
Would you like to participate in the We Take Time to Slow Down in School Zones Educational Campaign? "Select"YesNo
What incentives do you think we should continue to buy, or would you like to see in the future? e.g. sunglasses, helmets, t-shirts, bike locks, subway gift cards.
Are there incentives that are not well-liked that we should stop putting in the toolkits?
What kind of support does your school need from us for your Safe Routes to School events and programs next school year?
Please select the programs you would like to participate in next school year: Frequent Walker ProgramWalking School Bus programProject RADARYouth Engagement ProjectGolden Sneaker ChallengeNone
If you plan to participate in the Frequent Walker program, would you like to paper track student participation, or track electronically through the EZ Scan app? Track electronically using EZ ScanPaper track
Is your school interested in having a parent pick-up and drop-off procedure map created/updated? This map shows parents where to pick-up and drop-off their students, where staff should park, bus loading zones, bike rack parking for students, and no parking zones. YesNo
If so, what date would you need your parent map completed by?
Would you be interested in receiving curriculum materials related to walking and bicycling (snowshoeing/bicycling)? YesNo
Is your school interested in checking out our bike fleet? (16 bikes) YesNo
Is your school interested in checking out our snowshoe fleet? (40 snowshoes total) YesNo
Please share any additional thoughts and/or questions and we will follow up with you.
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