Sign up as a school for International Walk + Bike to School Day

This form is for Oregon schools to register for International Walk + Bike to School Day.
School information    

School

School District

School Address

School City   State

Zip Code

School Website

Number of Students in School:

Grade Range of School:

Email    

Phone Number   ext.

I am a: Parent Teacher Administrator Community Member

I have previously organized a Walk + Bike event at my school.

Current Activities

We have participated in International Walk and Bike to School Day before.
For one year For two years For three or more years We have not participated in Walk and Bike to School Day before

We participated in Walk + Bike Challenge Month.
Only 2008 Only 2009 Both 2008 & 2009 Never

Our school participates in Shape Up Across Oregon and incorporates walking/biking activities.
yes no

Our school hosts regular Walk+Bike promotion events and or on-going campaigns.
Ongoing Campaigns Weekly Monthly Not at All

Our school has organized walking/biking school buses in which parents and students walk or bike to school from designated meeting points or along designated routes.
We have organized walking school buses We have organized biking school buses We have organized both walking and biking school buses We have not organized walking or biking school buses

By submitting this form, you agree to serve as the contact person for the International Walk + Bike to School Day at your school. Your name and email will be published on walknbike.org as a contact person for your school. Your school's name may be published on walknbike.org or in print materials as a participating school. Your information will not be sold or shared.

I would like more information on Oregon Safe Routes to School programs.