Please fill it out and return to Mrs. Goodrow.

Child’s Name ___________________ Grade _______

1. We signed our child up for club to get more exercise.

Yes ___ Maybe ___ No ___

Optional Comment:

2. Our family already strives to get 30 minutes to an hour of exercise a day.

Yes ___ Sometimes ___ No ___

Optional Comment:

3. Healthy snacking means eating fruit and vegetables at our home.

Yes ___ Sometimes ___ No ___

Optional Comment:

4. We have treat policies that everyone follows.

Yes ___ Sometimes ___ No ___

Optional Comment:

5. We would welcome a weekly Happy Feet Family Tips News bulletin.

Yes ___ Maybe ___ No ___

Optional Comment:

6. We have Internet access and would prefer an online bulletin.

Yes ___ Maybe ___ No ___

Optional Comment: