Register for HeartSmart Kids™ 1 Personal Information2 School Information3 Program Information Thank you for your interest in HeartSmart Kids™. Filling out this form will register you for the new HeartSmart Kids™ site. We've updated and expanded our printed materials and have revamped our online tool this year. If you've used this program in the past you will need to register again, but can then simply re order the materials for your classroom. When you have completed this form you will need to check your email to confirm your account, then log in to place your order for HeartSmart Kids™ print materials for use in your classroom.Name* First Last Phone*Email* Enter Email Confirm Email Password* Enter Password Confirm Password School District Number or N/A*School/Organization Name*School/Organization Address:* Street Address Address Line 2 (if applicable) City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code We're sorry, this program is currently only available to educators in Canada.Position/Job Title* Are you mainly an educator of Indigenous children and youth?*YesNoHow did you hear about this program? Please specify if through JUMP Rope for Heart.*My school is participating in Jump Rope for Heart this year.*YesNoNot sureI coordinate JUMP Rope for Heart for my school.*YesNoGrades You Teach (This is NOT an order form and is only for your profile -Don't forget to order!) 2 - 3 4 - 6 K - 1 Sorry, you've indicated you aren't an educator in Canada. This program is currently only available to educators in Canada.CommentsThis field is for validation purposes and should be left unchanged.