Health-E-tips Making Each Day a Little Healthier

Just-A-Minute Program Sign up Form

Step 1 - Please complete the following information:

First Name:
Last Name:
Email Address:
Phone Number:
School District :
Position:
School Name:
School Address:
City:
State:
Zip Code:

Step 2 - Please tell us about your school:

Are you applying for all schools in your district?
If not, how many schools are you registering for?
Number of students this will be available to:

Step 3 - Please tell us how you heard about us:

Step 4 - If your school is currently enrolled in the Alliance for a Healthier Generation’s Healthy Schools Program please check here:

For more information on their best-practice program that provides schools with on-site and online technical assistance, resources, and national awards for school-based efforts to create healthier school environments click here: http://www.healthiergeneration.org/schools.aspx or contact schools@healthiergeneration.org or 1-888-KID-HLTH.