Safe Routes to School Programs

2012 ACES Registration Form

Register now for ACES With-a-Friend 2012 to ensure timely delivery as well as availability of ACES materials. Registered schools will receive ACES newsletters and stickers. In addition, schools will receive a certificate of participation signed by Governor Rick Snyder. Download the Idea Kit at your convenience.

Choose one of the following options:

We are previous participants
We are first-time participants

Please provide the following information: Fields with an * are mandatory.

Name*

Title

School Name*

Street Address*
Your materials will be shipped via UPS. Please list your school's STREET ADDRESS. No P.O. Boxes or residential addresses will be accepted.

Address (cont.)

City*

State*

Zip Code*

Phone*

FAX*

E-mail*
Email addresses are important in order to receive up-to-the-minute communication about ACES and other related programs.

Grades Example: K-2, K-5, K-6, 6-8, etc.

School Type If other:

School District

ISD

Enter the name of the county your school is in here:

How many students will be involved?* This number will be used to determine the amount of materials sent to your school

Enter your local newspaper(s)

I would like to register for Walk To School Day 2012 (held in October).

I would like to be added to the PA-TOOLS listserv to receive emails about valuable physical activity tools for schools.

To help prevent spam, please enter the two words below:

verification image, type it in the box

Return to Michigan Fitness Home Page
Return to ACES Home Page

"));