2022 Walk & Roll Registration Question Title * 1. Group, organization, or school name Question Title * 2. Grade Level (check all that apply) K-5 6-9 10-12 Question Title * 3. Contact Person Question Title * 4. Mailing Address Question Title * 5. Telephone # Question Title * 6. Email Question Title * 7. Event Location Question Title * 8. Event Date(If you have not chosen a date yet, you can leave this empty and update us by email) Date / Time Date Question Title * 9. Event Time(If you have not decided a time, you can leave this empty and update us by email) Date / Time Time AM/PM - AM PM Question Title * 10. Is your event open to the public? Yes No Question Title * 11. Anticipated number of participants Question Title * 12. Please share any other information you would like us to know about your event. Question Title * 13. The Rick Hansen Foundation School Program offers no-charge educational resources for youth in kindergarten to grade twelve, developed by educators for educators.Would you like to be registered to receive Rick Hansen Foundation School Program information? Yes No Page1 / 1 100% of survey complete. Done
