A Fit Future For Tarrant County

Network Registration Form

The United Way of Metropolitan Tarrant County, the Tarrant County Public Health Department and the Fort Worth Public Health Department are leading the way in the formation of a community network to address obesity at the local level. The network will provide technical assistance and mutual support to formal and informal organizations that are ready to make healthy weight a reality for more Tarrant County residents. Through ongoing communications and opportunities for learning from each other, we intend to grow the network from 16 charter organizations to 100 organizations by the end of this year.

We invite you to be part of this network.  Register your organization, company, school, faith-based group, association or any community group that can help mobilize our county around this health issue that threatens to surpass smoking as the leading cause of death in the United States.

Complete this registration form and click submit at the bottom of this form.

 
Organization Name
Your Name
Role in Organization
Type of Organization
Number of Members
Street Address
Address (cont.)
City
State
ZIP
Phone Number
Web Site
E-mail (required)
Fax

If your organization is already actively involved in preventing obesity in Tarrant County, please describe:

How do you measure success?
 

Please submit form