Hawick Active Travel Campaign - Agents Of Change Entry Form - Page 1 of 3 - Scottish Borders Council

Page 1 of 3

Your Details

Please provide your details.

What is your full name? (or your child’s full name, if you are completing this form on their behalf)

Please use the text box below to provide your name (Required)

More information More information

Please complete a separate form entry for each child in a family.

What school do you attend? (or your child’s school, if you are completing this form on their behalf)

(Required) Hawick High School Drumlanrig St Cuthbert's Primary School Stirches Primary School Wilton Primary School Trinity Primary School Burnfoot Community Primary School Newcastleton Primary School Denholm Primary School

What year are you in?

(Required)

What class are you in? (For example P4 / P4C / P3/4)

Class teacher's name (or registration)

Please use the text box below to provide your register or class teacher's name (Required)

We require a parent or guardian’s details for a child to participate, please provide parent or guardian’s full name, contact email and phone number.

Please use the text box below to provide contact details (Required)

Tell us in a few words why you should be an Agent of Change.

More information on being an Agent of Change More information on being an Agent of Change

Our RIDONKULOUS Agents of Change will help promote active travel within their school and be a role model for the community. They should try to walk, wheel or cycle for short trips wherever possible. If access to a scooter or bike is a problem, let us know.

Our RIDONKULOUS donkey mascot needs a name, share one brilliant idea for Hawick.

Tell us an idea for the Donkey Mascot Name. Click on ‘more information’ below so you can see them and read the instructions below the image.

More information on the RIDONKULOUS Mascot - click to see the photo here More information on the RIDONKULOUS Mascot - click to see the photo here

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Our RIDONKULOUS donkey mascot in the logo above needs a name and we want to hear your brilliant ideas (not Donkey McDonkface please... we’ve heard that one). The winning name will earn its creator a special prize, so get creative and send us your best suggestion.