Walk to School Day Post-Event Response Form

The Safe Routes to School office and the Michigan Fitness Foundation thank you for being part of Walk to School Day. We are extremely pleased that so many Michigan youth receive the positive fitness and safety message that Walk to School Day offers. Please help us assess the impact of the program and plan for next year’s event (Wednesday, October 5, 2011) by completing this form. We look forward to hearing what we can do to make your job easier next year.

School:

County: 

Contact person:

Address:

City: 

State: 

Zip code: 

Work phone:

E-mail:

First time participant   OR  Previous participant

Please estimate how many students participated at your school:

Other than students, please tell us how many non-student participants were involved:

Describe briefly what your school did to celebrate Walk to School Day:

Additional comments about how the program can be improved:

  Early Registration for 2011

  Please register my school for Walk to School Day 2011

  Please register my school for ACES (All Children Exercising Simultaneously) With-a-Friend

  Please send me information on how to register for Safe Routes to School