Register for Walk or Wheel Wednesday Program 1Introduction2Contact Details3School Details4Addition Details5Review You can use this form to: Register your school to participate in the Walk or Wheel Wednesday Program any term during 2023. To complete this form Enter the name of your school Provide contact details for your school’s nominated contact person Select which school term your school will participate in Tell us what support and resources you require It will take about 5 minutes to complete this form. After you submit this form The Boroondara Sustainable Transport Officer will contact your school's nominated contact person. What happens with your information? We record your information on our customer database and make it available to relevant Council staff in line with City of Boroondara’s Privacy Statement. The contact details you provide to Council may be used by Council to contact you in relation to other Council functions and services. What is the name of your primary school? * Required Please nominate a school contact for us to liaise with. * Required First name Last name Position * Required (e.g. PE teacher)What is the email address of your nominated contact? * Required What is the phone number of your nominated contact? * Required Which school term would you like to run the Walk or Wheel Wednesday program? * Required Term 1 Term 2 Term 3 Term 4 How many students are there at your school? * RequiredHow many classes are there at your school? * Required You are required to submit the data collected on the classroom calendars to Council at the end of the term. Do you need support with this? * Required Yes No This data can be recorded on the provided Walk or Wheel Wednesday calendar and tallied in the provided spreadsheet template.Would you like the resources for the program delivered to your school? * Required Yes No Would you like the resources for the program emailed to your school? * Required Yes No Is the school principal aware of your plans to run the Walk or Wheel Wednesday program? * Required Yes No Do you have any comments or questions?Would you like to meet prior to the program commencing to discuss how we may be able to support your school in participation and education? * Required Yes No Would you like a member of our Sustainable Transport team to attend a school assembly to talk to the school community about the health, social and environmental benefits of ‘Active Travel’ to and from school? * Required Yes No Please review your information. If you notice errors please use the numbered page navigation or the 'previous' button to make changes. If all information is correct, please click the 'Submit' button to complete this form. {all_fields}
