2013 is Healthy Kids Club's 15th Anniversary!
Help us celebrate this milestone by providing your experience and feedback. Your participation will help us continue to provide health education and physical activity opportunities for kids and families.

* 1. What Healthy Kids Club programs has your child (children) participated in? Mark all that apply.

* 2. Tell us about your experience with Healthy Kids Club

* 3. How has Healthy Kids Club impacted your child/children/family?

* 4. Your name (optional)

* 5. Email address (optional)

* 6. I would be willing to have my (or my child's/children's) photo taken for use in Healthy Kids Club publications.