Step Up, Florida! 2008 Event Registration

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.**

*Email:

*Confirm Email:

*Phone Number:

*Date of Events

February
Feb 1st Feb 2nd Feb 3ed Feb 4th Feb 5th Feb 6th Feb 7th	Feb 8th Feb 9th Feb 10th Feb 11th Feb 12th Feb 13th Feb 14th	Feb 15th Feb 16th Feb 17th Feb 18th Feb 19th Feb 20th Feb 21st	Feb 22ndt Feb 23ed Feb 24th Feb 25th Feb 26th Feb 27th Feb 28th	Feb 29th
March
Mar 1st Mar 2nd Mar 3ed Mar 4th Mar 5th Mar 6th Mar 7th	Mar 8th Mar 9th Mar 10th Mar 11th Mar 12th Mar 13th Mar 14th	Mar 15th Mar 16th Mar 17th Mar 18th Mar 19th Mar 20th Mar 21st	Mar 22ndt Mar 23ed Mar 24th Mar 25th Mar 26th Mar 27th Mar 28th	Mar 29th Mar 30th Mar 31st

*Type of Events

Biking
Walking
Running
Dancing
Horse back riding
Canoeing
Hiking
Other:

Taste Tests
Gardening
Visit a Farmers' Market
Try a Healthy Recipe
Cook with your Family

*Type of Facility

Parks and Recreation Center
School
Worksite
Trail Head
Work out Facility
Church
Other:

*Event Description

Please list what time your event will start and stop and a short description of the event

School Information

If you chose School above please include the following information:

Type of School:

Pre-K
Elementary
Middle
High

School Name:
Is the event school wide or class-room based?
What is the age range of the students?
Anticipated number of participating students
Anticipated number of participating staff
Other information

Worksite Information

If you chose Worksite above please include the following information:
Worksite Name:

Contact Person from worksite

Name:
Phone Number:
Email Notice: Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.**
Email Address:

Other information

Events All Year Long

Please list any events that you support that promote physical activity and healthy nutrition all year long

Types of people expected at the events (i.e. youth, adults, worksites, disabled population, all of the above)
Youth
Adults
Worksites
Disabled Population
Media
Other:

* Required Fields

** Please contact the Step Up, Florida! Coordinator at 850-245-4330 to submit event information without providing your email address.

This page was last modified on: 02/1/2008 10:42:48

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