Ā 

Order Form

Questions or concerns? Email schoolpatrol@caamanitoba.com.

SCHOOL INFORMATION
Patrol Supervisor *
Phone *
Number of years YOU have been a Patrol Supervisor? *
(Please be as accurate as possible for annual supervisor awards.)
Email *
School *
School Division *
School Address *
Contact the CAA
School Patrol
Coordinator

CAA Manitoba
Government & Community Relations


P.O. Box 1400. 870 Empress St. Winnipeg, MB R3C 2Z3

schoolpatrol@caamanitoba.com

City *
Postal Code *
P.O Box
Shipping Address (if different from school address)
City
Postal Code
PATROL CENSUS

Please give the most accurate count of how many patrols are enrolled at your school. This information is used for awards and incentives throughout the year.

Foot Patrols *
(How many foot patrols are enrolled at your school?)
Bus Patrols *
(How many bus patrols are enrolled at your school?)
Maximum Number of Patrols on Duty *
(What is the maximum number of patrols on duty at any given time?)
Number of Intersections *
VESTS AND FLAGS (How many should I order?)

Vests and flags are designed to last a few school years and be shared, and do not need to be replaced annually. Larger vests are available at special request.

Number of Vests
Number of Flags
Number of Rain Jackets
(Maximum 2 rain jackets)
Supervisor Vests
(Strictly for use of supervisors. No children should be wearing these. Maximum 2 vests)
SCHOOL PATROL MATERIALS

All materials are provided free-of-charge from CAA Manitoba and Manitoba Public Insurance. Hover over item name for a picture.

Quantity Item Description
Officer's Record Book (for Patrol Captains) School-year book of daily and monthly performance
Officer's Record Book (French)

Patrol Handbook Instructions for patrollers
Patrol Handbook (French)

Application for Membership Applications for participation and parent's approval
Application for Membership (French)

Membership Card Identification wallet card with member's pledge
Membership Card (French)

Patrol Pins Patrol pins for patrollers
Image CAPTCHA
Enter the characters shown in the image.

We order the amount of supplies from overseas based on the numbers submitted to us by the assigned deadline date. Any orders received after that date are not guaranteed supplies, as they will be relying on surplus.