Yes, I plan to help my students and their families participate in Bring PE to Your Family Week at home.

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* 1. Your Last Name

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* 2. Your First Name

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* 3. Your Email Address

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* 4. School Name

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* 5. School City/Town

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* 6. School Zip Code

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* 7. What is your role at the school?

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* 8. School Level

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* 9. Approximate Number of Students at the School

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* 10. Did your school participate in Active Schools' Take Your Parent to PE Week in September 2017, 2018 or 2019?

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* 11. School District Name

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