If you have a child interested in joining a Walking or Biking School Bus, please fill out this form. We will be in contact if there are enough volunteers and students to make a route. Most people hear about our program by word of month, so please share!

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1. Student Name(s) and Grade(s)

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2. School Student(s) Attend

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3. Parent/Guardian Name

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4. Parent/Guardian Email

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5. Parent/Guardian Phone Number

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6. Pick-up/Drop-off Address
*So we can coordinate walking/biking routes with students who live near each other.

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7. Interested in...Walking? Biking? Either?

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8. Which day(s) of the week?

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9. Before school? After school? Both?

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10. Do you have availability to volunteer? If so, which days and times?

*Parent/guardian volunteers play a big role in the success of Walking and Biking School Buses!

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11. Please share any additional information with us!

Thank you for filling out our Walking and Biking School Bus Interest Form!

April Bril // abril@uerpc.org // 563-419-6224
Ashley Christensen // achristensen@uerpc.org // 563-419-6112
Upper Explorerland Regional Planning Commission
Safe Routes to School

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