Healthy Kids Club Enrollment Page

Name

Age

Favorite Color

Favorite Book

Favorite Food

Is there anything else we should know about you?

How best to reach you to receive information about upcoming Healthy Kids Club events and special promotions

By selecting 'yes' below, I give NH Healthy Families permission to send Healthy Kids Club information or materials to your home, phone or email. * yes no

Guardian's Name

Home Phone

Cell Phone *For reminders of upcoming events

Email *For updates on events, newsletters and special promotions