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!

One event per entry.
Please enter your information:
County Served:
Your First Name:
Your Last Name:
Your Tel:
Your E-mail:
Your Organization:
Date of Event, Activity or Dissemination of items:
Name of Organization or
Community Event Served:
(name of school, worksite, community based organization, health fair, etc.)
Address of Location Served:

Sugar Savvy Train-the-Trainer Workshop - # Trained:

Sugar Savvy Workshop or Presentation -# Attending:
Rethink Your Drink/Soda Free Summer Activities, Exhibits & Health Fairs
 - # Served:
Professional Presentation
 - # Attended:
Media Coverage:
(e.g. article/radio appearance/TV coverage)
Sugar Savvy Tip Sheets
 - # Distributed:

# of Brochures/Handouts English:

# of Brochures/Handouts Spanish:
# of Brochures/Handouts Chinese:
# of Brochures Vietnamese:
RYD or SFS Posters:
RYD Wrist Bands:
DWSTO Kits:
DWSTO Books:

Description of Sugar Savvy event, media coverage, or audience:

      

 

  
 

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