Cleveland Department of Public Health :: Color Your Palate Challenge

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About Color Your Palate

Click here to download the Color Your Palate flyer

If you experience any trouble with the form, please contact steps@city.cleveland.oh.us or (216) 664-STEP (7837) with questions.

* indicates a required field

ABOUT YOUR TEAM
* Team Name:
Team Mascot Name:
* Company/ Organization Name:
Department (if applicable):
* Member of the Healthy Cleveland Business Council?	Yes
NOTE: If you or your employer is not currently a member of the Healthy Cleveland Business Council, you must join to participate in Color Your Palate. We will contact you with membership information.

ABOUT YOUR TEAM'S COACH (main contact)
* Coach's First Name:
* Coach's Last Name:
* Coach's Email Address:
* Coach's Mailing Address:

ABOUT YOUR TEAM'S PLAYERS (coach + 9 players)
Player #1
* First Name:
* Last Name:
Email Address (if applicable):
Player #2
* First Name:
* Last Name:
Email Address (if applicable):
Player #3
* First Name:
* Last Name:
Email Address (if applicable):
Player #4
* First Name:
* Last Name:
Email Address (if applicable):
Player #5
* First Name:
* Last Name:
Email Address (if applicable):
Player #6
* First Name:
* Last Name:
Email Address (if applicable):
Player #7
* First Name:
* Last Name:
Email Address (if applicable):
Player #8
* First Name:
* Last Name:
Email Address (if applicable):
Player #9
* First Name:
* Last Name:
Email Address (if applicable):

Participation in this program is voluntary. By participating, each individual acknowledges that his or her participation is not work-related, and that he or she releases, and holds harmless the City of Cleveland for any and all damages, claims, actions, costs, expenses, or losses, whether from negligence or otherwise, in connection with or arising out of participation in this program.

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