Student Travel Log Template

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STUDENT TRAVEL LOG
Name: ________________________
School: ________________________
Grade: _________
I live ______ blocks from the school
REMEMBER: Be safe when you walk--always walk with friends or a responsible adult. When
walking to and from the school remember Elmer The Safety Elephant's poem:
Look all ways
Before you cross the street
Use your eyes and ears
Before you use your feet
Mark off the days you walk to school and home. If your school has a Kilometre Club, fill in
the number of kilometres you complete each week.
Date
Yes, I walked to
Yes, I walked home
# kilometres I
school
from school
completed in the
Kilometre Club
Students who participate regularly in the Walk to School program or the Kilometre
Club, or both, can send their completed Travel Logs to (local Health Unit) and we
will send you a certificate of achievement!

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