Walking School Bus Survey - St. Teresa Catholic School

Walking School Bus - St. Teresa Catholic School

Dear Parents/Guardians

St. Teresa Catholic School would like to join the Waterloo Regional Walking School Bus program. The Walking School Bus is a pedestrian school bus that helps children to walk to school safely with adult supervision. This program is brought to you in partnership with the Canadian Cancer Society and Waterloo Regional Block Parent.

Please fill out this short survey to give us an idea about your interest in this project.

For more information visit cancer.ca/walkingschoolbus

Question Title

* 1. Would you be interested in having your child(ren) participate in the Walking School Bus?

Yes

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* 2. Please indicate the following:

Your child(rens) name(s) and grade(s)

The intersection closest to your home

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* 3. How does/do your child(ren) usually go to school?

By walking

By car

By school bus

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* 4. To be able to offer the Walking School Bus service, the committee will need your help. Would you be interested in getting involved in the project? (Check all that apply)

Walking (1 to 5 mornings per week)

Getting involved with the organizing committee

Filling in for a walking leader when required

Helping to promote the program in the school or community

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* 5.
If you indicated that you would like to be involved in the project please provide you contact information.

Name

Address

Address 2

City/Town

Email Address

Phone Number

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* 6. If you usually drive to school, would you consider dropping your child(ren) off along the Walking School Bus route?

Yes

Question Title

* 1. Would you be interested in having your child(ren) participate in the Walking School Bus?

Question Title

* 2. Please indicate the following:

Question Title

* 3. How does/do your child(ren) usually go to school?

Question Title

* 4. To be able to offer the Walking School Bus service, the committee will need your help. Would you be interested in getting involved in the project? (Check all that apply)

Question Title

* 5. If you indicated that you would like to be involved in the project please provide you contact information.

Question Title

* 6. If you usually drive to school, would you consider dropping your child(ren) off along the Walking School Bus route?

* 5.
If you indicated that you would like to be involved in the project please provide you contact information.