Become A Partner

PARTNER COMMITMENT OF SUPPORT

First Name

Last Name

Organization

Title

Address

Phone

Fax

Email

Webpage

Position

Listing Options (see note below)

Please do not list me as a partner in promotional materials or on the website

Please list only my name, website, and organization on the website

Areas Of Interest:

Government

Healthcare

Schools and After-School

Early Childhood

Media

Community

Business

stablizer

Areas of Expertise

Other (please state)

Please add my name to the mailing list to receive the electronic newsletter.

If you are a current partner of the San Diego County Childhood Obesity, please identify whether you are a member of the Leadership or Domain Councils.

Leadership Council

Domain Champion

Listing Options
*Please note: partners will be listed by name, organization, and contact information on this website based on the information provided on this form. All other promotional materials produced by the San Diego County Childhood Obesity Initiative will list partners by name and organization only. If you wish that your information not be shared in this manner, check the appropriate box.

Statement of Support
Completion and submission of this form confirms that my organization supports the San Diego County Childhood Obesity Initiative, a public/private partnership whose mission is to reduce and prevent childhood obesity in San Diego County by creating healthy environments for all children and families through advocacy, education, policy development, and environmental change.

The San Diego County Childhood Obesity Initiative is guided by strategies identified in the San Diego County Childhood Obesity Action Plan in seven domain areas. Please mark your domain area(s) of interest and/or expertise.

Please submit this form to Erica Salcuni at email.

A representative of the San Diego County Childhood Obesity Initiative (COI) will be contacting you soon to provide partnership information. Meantime, should you have any questions regarding the details and expectations of this partnership, please contact Cheryl Moder, director at email. All Partner Commitment Support forms are reviewed annually by the Initiative.

Please refer to the Partnership Details Sheet for more information about the benefits and expectations of this partnership.

Quick Facts

Walking and biking have decreased more than 40% during the past 3 decades, partly because of unsafe routes and poor walking conditions (Active Living Research, 2009).
More children are being diagnosed with diseases linked to overweight and obesity previously seen only in adults, such as Type 2 diabetes and heart disease (The Obesity Society, 2009).
If today’s current trend continues, it is anticipated that 1 in 3 children born in the US after the year 2000 will develop type 2 diabetes (American Diabetes Association, 2009).

Core funding provided in part by:

A project facilitated by: