Post Workshops Order HeartSmart Kids™ Educator - Mobile Post Workshops Order Name* First Last Please only use this form if you have completed an in-person workshop within the last year.Confirm Your Email* Enter Email Confirm Email Contact Consent I consent to be contacted via email regarding HSKids Confirm Your School/Org Phone #*Confim Your Position/Job Title* Do you teach a population of 25% or more Indigenous students?*NoYesI prefer not to disclose this informationMy school is participating in JUMP Rope for Heart this year.*YesNoNot sureI coordinate JUMP Rope for Heart for my school.*YesNoConfirm Your School/Organization Name* Confirm your School/Organization Address* Address Address 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code This is where your HeartSmart Kids™ materials will be shipped.Workshop InformationWorkshop Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Location of Workshop* Please provide the name of the conference/workshop as well as the city and province.Facilitator of Workshop* Select Language of Books Requested* French English Select Book Grade Levels Requested* K - 1 2 - 3 4 - 6 Number K - 1 Books RequestedNumber 2 - 3 Books RequestedNumber 4 - 6 Books RequestedWe are currently out of stock for French Grades 4-6 books but are working on a releasing our updated version for June. Please check back in June to place your French Grades 4-6 book order. In the meantime, you may use the English Grades 4-6 books.Total Books Requested*Order Size ExplanationYour order is larger than what we usually fulfill - are you ordering for a whole school or grade? Please only place an order for yourself, all educators MUST certify and submit separate orders.NOTE: Please check your confirmation email for delivery information. There is no cost for HeartSmart Kids™ program resources; however, we reserve the right to limit quantities and are available while supplies last. HeartSmart Kids™ is generously supported by Heart and Stroke Foundation donors: www.heartandstroke.ca/donateCommentsThis field is for validation purposes and should be left unchanged.