Sponsorship Registration

Please use this form to reserve a sponsorship for the 2019 Healthy Schools Summer Academy. Payment due by May 23, 2019. Cancellations will not be refunded.
Your sponsorship does NOT include a booth, but does include an online listing. Please make sure the information you enter is accurate, as it will be used for the online listing.

Organization Information*
Please enter your organization's information.
Organization's Name
Organization's Description
50-word max
Organization's Primary URL
Organization's Facebook
Organization's Twitter
Attendee Contact Information*
Please enter the contact information of the person you want attendees to contact for more information.
Salutation
First Name
Last Name
Job Title
Email
Phone
* Information will be used for the online listing.
Sponsorship Information
Type of Sponsorship
In-kind
Financial
Both In-kind and Financial
 
Sponsor Contact Information
Please enter the contact information of the person responsible for the sponsorship and any decisions about it.
Salutation
First Name
Last Name
Job Title
Email
Phone
Address
City
State
Zip