New York Coalition for Healthy School Lunches

Home	FAQ	Contact	Donate	About Us	Join
News Articles	Food Guidelines & Recipes	NYS Resolution & Info Pack	Newsletter	Email List Signup	Endorsers

Wellness Wakeup:
Empowering Messages for Morning Announcements
An Easy Way to Fulfill Nutrition Education Goals as Mandated by Local Wellness Policies

New York State School Districts – official representatives

This program is provided free of charge to New York State school districts. This form is for official representatives of schools that will/may be using Wellness Wakeup Messages for morning announcements.

Please use this form if you are an official representative of a NY State school district. ">
(*) Required Fields

*New York Coalition for Healthy School Foods (NYCHSF) will not share your information with anyone – it is used for tracking purposes to see who is using the program, unless you check the box below.*
	If you check the box on the left, you are giving NYCHSF permission to use your school district name to promote the Wellness Wakeup Program. If this box is checked, you will be contacted for confirmation that you are using the Wellness Wakeup Program.

(*) First Name:
(*) Last Name:
(*) Position:
(*) School District:
(*) Street:
(*) City:
(*) State:
(*) Zipcode
Phone (please include area code):
(*) Email Address:
(*) Are any schools in your school district using Wellness Wakeup?	Yes No No, however I am using the messages for another educational purpose (please email us and tell us how). We are working on implementing use of Wellness Wakeup Messages but they are not yet being used.
If yes to the above question, please enter the number of schools in your district that are using the Wellness Wakeup Program?