* 1. School/group name:

* 2. School/group mailing address:

* 3. City/town:

* 4. Postal code:

Province: Nova Scotia

* 6. Name of Principal

* 7. School/group phone number:

* 8. Primary contact person for IWALK 2017 at your school/group

* 9. Title of primary contact person:

* 10. Primary contact person email:

* 11. Number of students or children/youth who will participate in the event:

* 12. Grade levels:

* 13. When (what day/week) are you planning on celebrating this event?  We mainly want to know at least a week in advance to be sure you receive the stickers on time.  Tentative dates are acceptable.

After completing this form, a confirmation of your registration for International Walk to School Month 2017 will be emailed to you within 1 or 2 days.

Be sure to click "Done" when you're finished entering your information. Thanks.