Independent Health Foundation's Fitness for Kids Challenge

School Name

School Address (city, state, zip)

Name

Job Title

Email Address

Have you participated in the Fitness for Kids Challenge before?

How did you hear about this program?

How many classrooms would you be interested in enrolling at your school?

What grade levels would you be interested in enrolling?

Why are you interested in bringing the Fitness for Kids Challenge to your school?

Do you have any questions or comments regarding the program?

Is your school up for the Challenge?