Network for a Healthy California--Gold Coast Region
Contact options

Mary Arévalo
Latino Campaign Coordinator
Ventura County Health Care Agency
2323 Knoll Drive, Suite 304
Ventura, CA  93003
Phone: 805.677.5255
Fax: 805.677.5220
 mary.arevalo@ventura.org

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 Gold Coast Region :: Latino Toolbox Participation Report

Thank you for being a champion for change for Latino adults! By returning this form, you’ll help to ensure that the Latino Campaign continues to receive funding to improve the health of California’s Latinos. Once the form is submitted, you will receive a confirmation page that you may print for your records.

Trainer's First Name:
Trainer's Last Name:
Region: Gold Coast
Organization Name:
Class Address:
City:
Zip:
County:
Phone:
Fax:
Email:

Please complete the following:

Name of Tool Box Lesson Taught
(Check off if completed.)
Date
(00/00/2011)
Time
(Duration of Event)
# of Attendees

1. How Many Cups Do I Need?

2. How Many Minutes Should I Get?

3. Fruit & Veggies Icebreaker

4. Healthy Recipe Demonstration & Sampling

5. Try Your Hand @ Fun Fruit & Veggie Games

6. Grow Your Own Salsa

7. Green Grocer

8. Sharing the Gift of Fruits & Veggies

9. Healthy Options Away from Home

10. Advocate for Fruits, Veggies, & Physical Activity (PA) in Your Community

11. Be Active Your Way

12. Walking on the Path to Better Health

13. Dance for Fun & Fitness

14. Jump for More PA

15. PA Relay
Other activity (specify):
Did you use any other nutrition education resources?

Harvest of the Month

Fitness Business Tips

Other (specify):

How has Latino Campaign made a difference in your region? (Additional comments welcome)

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For CalFresh information, call 1-877-847-3663. Funded by the USDA SNAP, an equal opportunity provider and employer. Visit www.cachampionsforchange.net for healthy tips. California Department of Public Health