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 If you receive an error on this field because it has been already registered, please add an initial to the first name field and try again. 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 and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code We're sorry, this program is currently only available to educators in Canada.Position/Job Title* Do you teach a population of 25% or more Indigenous students?*NoYesI prefer not disclose this informationHow 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.*YesNoSorry, you've indicated you aren't an educator in Canada. This program is currently only available to educators in Canada.UsernameNameThis field is for validation purposes and should be left unchanged.
