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Safe Routes to School: Walking School Bus Registration

The Spring 2012 Walking School Bus program will begin on Monday, March 5 and end on Thursday, May 3, 2012. Those who registered for the Fall 2011 program do not need to register again.

School:
Select:*
Child(ren):
First:* Last:* Grade:*
First: Last: Grade:
First: Last: Grade:
Address:*
City:* State:* Zip:*
Parent/guardian:
First:* Last:*
Phone number(s):*
Email address:
I give permission for my child(ren) to participate in the walking school bus program and to be photographed during the program for marketing purposes. I will not hold the Walking School Bus leader, the PedNet Coalition, or its staff responsible for any accidents or injuries.
* Required field

 

 

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PedNet Coalition
P.O. Box 7124, Columbia, MO 65205       (573) 999-9894

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