Walktober Walk-To-School
OFFICIAL ENTRY FORM

* Required

School Name *

Campus Name

Address: STREET *

Address: SUBURB *

Address: POSTCODE

Contact Person *

Email Address *

Phone Number *

Name of Local Council *

Total Number of Students Enrolled (Prep to Grade 6) *

TOTAL NUMBER OF STUDENTS WHO WALKED TO SCHOOL:

DAY PRIOR TO Walktober Walk-to-School event *

DAY OF Walktober Walk-to-School event *

I, verify that the above figures are correct.

Verification Name *

Verification Title

Enter Word Verification in box below *