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Forms
*Registration (pdf)
*Parent Permission Form (pdf)
*Eligibility & Liability Release (pdf)
Source Reference Sheet (pdf)
*Indicates Required Form
Return completed forms to:
MyTakeOnHealth
Attn: Staci Foresee
First Lady Kim Henry’s Office
2300 N. Lincoln Blvd., Suite 212
Oklahoma City, OK 73105
Phone: (405) 521-2342
FAX: (405) 521-3353
Email: staci.foresee@gov.ok.gov
Thank you!
Best Buy
Weekly Drawings include: Wiis, Laptops, Televisions, and Ipods!
Thank you!
Presenting Sponsors: Integris Baptist
and
Fit Kids Coalition
Thank you!
Other Sponsors include:
The Children's Hospital
Wal-Mart;
Cox Communications;
Blue Cross/Blue Shield;
Cherokee Nation Business Corporation;
Doctor-on-Call;
Ethics and Excellence in Journalism Foundation;
Homemade Gourmet;
Inasmuch Foundation;
George Kaiser Family Foundation;
Jordan Associates;
Linda Price Charitable Foundation, Inc.;
Lobeck Taylor Foundation;
Merrick Foundation;
Anne and Henry Zarrow Foundation; and
Maxine and Jack Zarrow Foundation
Winners - CONGRATULATIONS!
| November Video Winners | |
| view video | First place: Alex Andrews for his video "Get Active" |
| view video | Second place: Christine Lamont for her video "Meth Addict" |
| October Video Winners | |
 |
First place: Samuel and Hugh Westoff, pose with their $3,500 'check' with their father, Craig Westoff, looking on, and First Lady Kim Henry, Gov. Brad Henry and State Superintendent Sandy Garrett. The Westoffs are home-schooled students and won with "Dodgeball," which featured their father. | view video | |
 |
Second place: hail from Norman High School and entered "Rewind" in the contest. Pictured from left are MyTakeOnHealth financial sponsors Stanley Hupfeld, CEO of Integris Health, and Anne Roberts, executive director of the Oklahoma Fit Kids Coalition; Jerrett Fowler and Rian Cline of Norman High School; First Lady Kim Henry; Gov. Brad Henry; and State Superintendent Sandy Garrett. | view video | |
| Weekly Drawing Winners | |
| Daylon Wilkins - Insignia 19" LCD TV/DVD | |
| Jerrett Fowler - Nintendo Wii + Wii Fit | |
| Jon Bolin - Sony Digital Camera Pack | |
| Tate Bolin - X Box 360 | |
| Thomas Childs - 8 Gig I Pod Touch | |
| Samuel Westhoff - Nintendo Wii + Wii Fit | |