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Required format:

Stage:

External

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Strong4Life Request Form

Thank you for your interest in Children's Healthcare of Atlanta Strong4Life. Requests must be placed at least one month prior to event date, and vendor avaiability is limited. Please note that a request must be aligned with Strong4Life's mission of raising healthy, safe and resilient kids and with Strong4Life's four healthy habits:

Eat Smarter, Drink Water
Screens Away, Go Play
Get Rest to Be Your Best
Emotions Are Real, Express How You Feel

Your request will be reviewed by the Strong4Life team and you will receive follow-up communication on the status of your application.

First Name:

* must provide value

Last Name:

* must provide value

Email Address:

* must provide value

Phone Number:

* must provide value

Organization Representing:

* must provide value

Role:

* must provide value

Opportunity

Description

Strong4Life Vendor

Hosting a race or health fair? Strong4Life can support by staffing an informational table with fun games that teach children and parents the importance of healthy habits. Flyers and giveaways are provided

*Availability is limited.

Strong4Life Resources

Strong4Life can provide flyers with the Strong4Life Healthy Habits and other giveaways for your event

What are you requesting?

* must provide value

Strong4Life Vendor

Strong4Life Resources

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Name of Event:

* must provide value

Website:

Upload your event flyer:

Upload file

Event Date:

* must provide value

M-D-Y

What type of event is your organization hosting?

* must provide value

5k/Race or Walk

Festival

Health Fair

School Event

Safety Event

Other

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Describe the event: Write in the purpose and topic of the event and any activities planned (be as detailed as possible)

* must provide value

Expand

Describe the audience:

* must provide value

Newborn - Preschool Aged Children

Elementary Schoolers

Middle Schoolers

High Schoolers

Parents and Caregivers

Healthcare Providers

Educators and School Staff

Faith Based Congregation Members

Other

Approximately how many attendees are you anticipating will attend the event?

* must provide value

Select the county where the event is being held:

* must provide value

If other, please specify:

Click "Submit" to continue to the next form.

Welcome to Children's Community Event Request and Reporting Tracker

For Employee Use Only

Name:

* must provide value

What is your name?

* must provide value

I am...

* must provide value

requesting presence/resources OR reporting attendance before the event

reporting attendance after the event

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Type of activation:

* must provide value

Strong4Life Healthy Habits

Raising Resilience

Community Engagement

Injury and Illness Prevention

Firearm Safety

Stephanie V. Blank

Sports Marketing

Sports Medicine

Other (please specify):

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Opportunity	Description
Strong4Life Vendor	Strong4Life can support an event in the community by staffing an informational table with the Wheel of Wellness that teaches children and caregivers the importance of healthy habits. Flyers and giveaways are provided.
Strong4Life Resources	Strong4Life can provide healthy habit flyers and other giveaways for a community event.
Send Strong4Life Resources	Strong4Life can ship healthy habit flyers and giveaways in place of attending an event.
Children's Resources	The Community Engagement team can provide Children's hospital and urgentcare informational flyers for a community event.
Children's Community Champions	Children's Community Champions are trained employees that can help staff your table. *Limited availability

What are you requesting? (Select all that apply)

Strong4Life Vendor

Strong4Life Resources

Send Strong4Life Resources

Children's Resources

Children's Community Champions

How many Champions will you need?

* must provide value

Are majority of the event attendees Spanish speaking?

* must provide value

Yes

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Name of Event:

* must provide value

Event Date:

* must provide value

M-D-Y

Event Date 2:

M-D-Y

Event Date 3:

M-D-Y

Type of event:

* must provide value

5k/Race or Walk

Festival

Health Fair

School Event

Safety Event

Other (please specify):

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Describe the audience: (Select all that apply)

* must provide value

Newborn - Preschool Aged Children

Elementary Schoolers

Middle Schoolers

High Schoolers

Parents and Caregivers

Educators and School Staff

Faith Based Congregation Members

Other

Other type of audience:

* must provide value

Approximately, how many attendees are you anticipating will attend the event?

* must provide value

Approximately, how many families interacted with your table at the event?

* must provide value

Event county:

* must provide value

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.