Get Up & Go Class Participation Form
let us know that you intend to participate in the Get Up & Go Health and Fitness Campaign.

Please fill out the information below so that we can recognize your efforts and those of your students. We want to use the information to award recognition certificates and get a final update of the campaign’s overall success for a celebration event that we are planning in May.  We hope to make recognition certificates for students available to present at each school's  year end award assemblies.  If you have any questions, please call Mark Peters at 618-233-7703 ext. 4423.

Name of School:

Location (City, town, etc.):

Number of students participating:

Grades or Grades that will participate:


Teacher's Name(s):

Telephone:

E-mail:

Please confirm your e-mail:

Health & Fitness Activity:

 

Comments:


 


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