Department of Health Home A to Z Topics About the Department of Health Site Map Contact Us

2008 Step Up, Florida! Event Registration

*County Name

Contact Information
 
*First Name:
*Last Name:
*Event Address:
*City:
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:
*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