Thank you for telling us about your International Walk to School (IWALK) experience. Please complete by November 15, 2011.

We always love to receive any art or media coverage related to IWALK (e.g. press clippings, photos, student artwork) don’t be shy, send them in! You may send them to info@saferoutestoschool.ca.

Photos and quotes need Principal permission for use in printed materials and on our website.
Name of Province or Territory

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* 1. Name of Province or Territory

Name of school:

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* 2. Name of school:

School Principal name:

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* 3. School Principal name:

School District name and number:

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* 4. School District name and number:

Contact person for IWALK:

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* 5. Contact person for IWALK:

Contact person's position:

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* 6. Contact person's position:

Contact person's email:

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* 7. Contact person's email:

Number of students enrolled at school:

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* 8. Number of students enrolled at school:

If you know this, please provide the number or percentage of students who usually travel to school by:

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* 9. If you know this, please provide the number or percentage of students who usually travel to school by:

If you know this, please provide the number or percentage of students who travelled during IWALK by:

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* 10. If you know this, please provide the number or percentage of students who travelled during IWALK by:

Did this school take part in IWALK activities for:

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* 11. Did this school take part in IWALK activities for:

Did your IWALK events include:

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* 12. Did your IWALK events include:

How useful was the IWALK resource package?

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* 13. How useful was the IWALK resource package?

Will your school continue walk to school events/activities throughout the school year?

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* 14. Will your school continue walk to school events/activities throughout the school year?

Will your school participate in International Walk to School (IWALK) next year?

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* 15. Will your school participate in International Walk to School (IWALK) next year?

Did you have any media coverage?

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* 16. Did you have any media coverage?

Any other comments?

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* 17. Any other comments?

Thank you! Your feedback will help us plan for future active school travel events that encourage families to experience regular safe, healthy and happy journeys.

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