Wellness Wakeup:

Empowering Messages for Morning Announcements

*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.

*() Required Fields**
(*) 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?

POB 6858, Ithaca, NY 14851 | 607.272.1154 | POB 737, Mamaroneck, NY 10543 | 914.630.0199 |