School Name (required)
School District (required)
SRTS Champion Name (required)
SRTS Champion 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 6th, 2021)Winter Walk to School Month (February 2022)(Bike to School Day May 4th-2022)
What incentives do you think we should continue to buy? 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?
How can we support your school in 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 Challenge
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
If you plan to participate in the Frequent Walker program, which themed tokens would you like to receive in your toolkit? SportsOuter Space
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
Would you be interested in participating in our “We Take Time to Slow Down in School Zones” educational campaign? You would receive printed materials and educational messaging to share with your schools. YesNoIt would be better for us during the 2022-2023 school year
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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