BANPAC SFS Online Tracking Form
           
 

Be Sugar Savvy/RYD/Soda Free Summer Online Tracking Form :: Workshops & Activities

Please complete form in entirety as completely as you can.  Thank you!
Please enter your information:
Your Last Name:
Your First Name:
Your Organization:
Organization Address:
Tel:
E-mail:
This form allows for two entries for two separate events.
Event 1 starts here.
EVENT 1
Location of Event 1:

Sugar Savvy Section:
Sugar Savvy TRAIN-THE-TRAINER Workshop Date:

Workshop # Participants:
Sugar Savvy Workshop Date:

Workshop # Participants:
ReThink Your Drink/Soda Free Summer Section:
ReThink Your Drink/Soda Free Summer Exhibit or Activity Date:
# of Participants:
Professional Presentation Date:
# of Participants:
Distributed ReThink Your Drink materials (posters, action cards, stickers):
Took steps to develop or implement healthy beverage practice pr policy:
Other ReThink Your Drink Activity?

Media Coverage Section:

  

Media Coverage:
Name of Media Outlet:
Date of Coverage:

Notes on any section:
End of Event 1.

Event 2 starts here.
If you do not have another event to include,
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EVENT 2
Location of Event 2:

Sugar Savvy Section:
Sugar Savvy TRAIN-THE-TRAINER Workshop Date:

Workshop # Participants:
Sugar Savvy Workshop Date:

Workshop # Participants:
ReThink Your Drink/Soda Free Summer Section:
ReThink Your Drink/Soda Free Summer Exhibit or Activity Date:
# of Participants:
Professional Presentation Date:
# of Participants:
Distributed ReThink Your Drink materials (posters, action cards, stickers):
Took steps to develop or implement healthy beverage practice pr policy:
Other ReThink Your Drink Activity?

Media Coverage Section:

  

Media Coverage:
Name of Media Outlet:
Date of Coverage:

Notes on any section:

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