Request Form: Walk + Roll Challenge Prizes

In Celebration of the Walk + Roll Challenge, Safe Routes to School is offering incentive baskets with small prizes to help local schools encourage active transportation to school with activities and events. Baskets are limited, so apply early.
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School Name *
School district *
What will be the duration of your event? *
What date(s) will your event be? (Wed, May 8th is the Spring Walk & Roll to School Day, but your event can be any time.)
What are your plans for the day, week or month? (Ask us if you'd like help planning) *
Contact Name *
Contact phone number *
Contact email address *
Do you need extra support on the day(s) of your event or in planning your event? While not every request for staff support will be fulfilled, we will do our best to assist when possible.
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