Step 1 of 2 50% Contact InformationName(Required) First Last Email(Required) Country(Required)-- Select One --United StatesCanadaAndorraUnited Arab EmiratesAfghanistanAntigua and BarbudaAnguillaAlbaniaArmeniaAngolaAntarcticaArgentinaAustriaAustraliaArubaAland IslandsAzerbaijanBosnia and HerzegovinaBarbadosBangladeshBelgiumBurkina FasoBulgariaBahrainBurundiBeninSaint BarthélemyBermudaBrunei DarussalamBolivia, Plurinational State ofBonaire, Sint Eustatius and SabaBrazilBahamasBhutanBouvet IslandBotswanaBelarusBelizeCocos (Keeling) IslandsCongo, the Democratic Republic of theCentral African RepublicCongoSwitzerlandCote d’IvoireCook IslandsChileCameroonChinaColombiaCosta RicaCubaCape VerdeCuraçaoChristmas IslandCyprusCzech RepublicGermanyDjiboutiDenmarkDominicaDominican RepublicAlgeriaEcuadorEstoniaEgyptWestern SaharaEritreaSpainEthiopiaFinlandFijiFalkland Islands (Malvinas)Faroe IslandsFranceGabonUnited KingdomGrenadaGeorgiaFrench GuianaGuernseyGhanaGibraltarGreenlandGambiaGuineaGuadeloupeEquatorial GuineaGreeceSouth Georgia and the South Sandwich IslandsGuatemalaGuinea-BissauGuyanaHeard Island and McDonald IslandsHondurasCroatiaHaitiHungaryIndonesiaIrelandIsraelIsle of ManIndiaBritish Indian Ocean TerritoryIraqIran, Islamic Republic ofIcelandItalyJerseyJamaicaJordanJapanKenyaKyrgyzstanCambodiaKiribatiComorosSaint Kitts and NevisKorea, Democratic People’s Republic ofKorea, Republic ofKuwaitCayman IslandsKazakhstanLao People’s Democratic RepublicLebanonSaint LuciaLiechtensteinSri LankaLiberiaLesothoLithuaniaLuxembourgLatviaLibyaMoroccoMonacoMoldova, Republic ofMontenegroSaint Martin (French part)MadagascarMacedonia, the former Yugoslav Republic ofMaliMyanmarMongoliaMacaoMartiniqueMauritaniaMontserratMaltaMauritiusMaldivesMalawiMexicoMalaysiaMozambiqueNamibiaNew CaledoniaNigerNorfolk IslandNigeriaNicaraguaNetherlandsNorwayNepalNauruNiueNew ZealandOmanPanamaPeruFrench PolynesiaPapua New GuineaPhilippinesPakistanPolandSaint Pierre and MiquelonPitcairnPalestinePortugalParaguayQatarReunionRomaniaSerbiaRussian FederationRwandaSaudi ArabiaSolomon IslandsSeychellesSudanSwedenSingaporeSaint Helena, Ascension and Tristan da CunhaSloveniaSvalbard and Jan MayenSlovakiaSierra LeoneSan MarinoSenegalSomaliaSurinameSouth SudanSao Tome and PrincipeEl SalvadorSint Maarten (Dutch part)Syrian Arab RepublicSwazilandTurks and Caicos IslandsChadFrench Southern TerritoriesTogoThailandTajikistanTokelauTimor-LesteTurkmenistanTunisiaTongaTurkeyTrinidad and TobagoTuvaluTaiwanTanzania, United Republic ofUkraineUgandaUruguayUzbekistanHoly See (Vatican City State)Saint Vincent and the GrenadinesVenezuela, Bolivarian Republic ofVirgin Islands, BritishVietnamVanuatuWallis and FutunaSamoaYemenMayotteSouth AfricaZambiaZimbabweState(Required)-- Select One --– Fill Out Other Fields –State(Required)City(Required)Zip / Postal Code(Required)Tell us how you heard about Active Kids(Required)-- Select One --Social media/AK&M websiteAK&M StaffAK&M TrainingEvents/ConferencesParent/Colleague/FriendPartnershipsProfessional DevelopmentSchool/District/Principal/TeacherGoogle Search Tell us a little bit about how you are going to use Active KidsWhat best describes your location type(Required)-- Select One --SchoolYouth based organizationHomeWhat is your role at this location?(Required)-- Select One --PE TeacherGeneralist TeacherSupport StaffBefore/After School Care StaffAdministrationParent/GuardianSchool Board/District Consultant (Staff for US)OtherWhat is your role at this location?(Required)-- Select One --Support StaffBefore/After School Care StaffAdministrationParent/GuardianField StaffConsultantOtherWhat is your role at this location?(Required)-- Select One --PE TeacherGeneralist TeacherParent/GuardianOtherOther Role(Required)Location Name(Required)-- Select One --– Fill Out Other Fields – Location not Shown Name of the Organization(Required)Street(Required)City(Required)Postal / Zip Code(Required)Approximate % of low income kids or free and reduced lunch?(Required)How many children will your program serve?(Required)Active Kids Pledge(Required) Agree to the Active Kids Pledge