Form Let's Move 1 Let's Move 1 Let's Move

Fill out the form below to sign up to be a Let's Move! Museum or Let's Move! Garden!
Institutional Information
Your name
Your title
Name of institution
Address line 1
Address line 2
City
State
Zip
Phone number
E-mail address
Institution’s main Web site address
Please note: Only your institution’s name, address, and Web address will be posted on the IMLS
Web site. You personal contact information will not be posted.

All institutions must select at least one of the first two priorities.
Priority #1: Eat healthy, get active exhibits
Click here for examples of eat healthy, get active exhibits and guidance on how to track exhibit
attendance.
We will do We
this.
currently
do this.

Not
applicable
to our
institution.

Offer interactive experiences or exhibits that provide
messages about healthy choices to visitors and to track our
number of visitors.
If you have responded "We currently do this,” please tell us a bit more about your exhibit(s):

Priority #2: Learning about healthy food choices and physical activity through afterschool,
summer and other programs
Click here for examples of programs and guidance on how to track program participation.
We will do We
this.
currently
do this.

Not
applicable
to our
institution.

Offer afterschool, summer and other programs that include
messages about healthy choices and to track our number
of participants in such programs.
If you have responded "We currently do this,” please tell us a bit more about your program(s):

Institutions that serve food should also select at least one of the second two priorities.
Priority #3: Healthy food service
Click here for healthy food service examples and guidance on how to define “healthy food.”
We will do We
Not
this.
currently applicable
do this.
to our
institution.
Offer healthy food options in my food service operation.
If you have responded "We currently do this,” please tell us a bit more about your healthy food
options(s):
Priority #4: Learning about healthy food choices and physical activity using food service
operation.
Click here for learning examples.
We will do We
Not
this.
currently applicable
do this.
to our
Institution.
Provide interpretation about healthy food choices and
physical activity in my food service operation.
If you have responded "We currently do this,” please tell us a bit more about your
interpretation(s):
Please note: Institutions that sign up to become Let’s Move! Museums or Let’s Move! Gardens
will receive communications from IMLS and outside partners about this initiative only. Your
information will not be added to any additional distribution lists.