Fill out the form below to sign up to be a Let's Move! Museum or Let's Move! Garden!
 
Contact Information
Please note that the participating institution's name, location, and Web address will be posted on the IMLS Web site; your contact information will not.
Institution Name
   
Institution Main Web address
http://    
Institution Address line 1
   
Institution Address line 2
   
Institution City
   
Institution State
   
Institution Zip
   
Your Name
   
Your Title
   
Your Phone Number
   
 
Your E-mail
   
 
 
Please identify your institution type (choose one):
 
 
Aquarium
 
Anthropology Museum
 
Arboretum/Botanic Garden/Public Garden
 
Art Museum/Center/Sculpture Garden
 
Children’s or Youth Museum
 
Ethnically/Culturally/Tribally Specific Museum
 
General or Multi-disciplinary Museum (several subjects)
 
Hall of Fame (e.g., music, sports, entertainment, media)
 
Historic House
 
Historic Site/Landscape
 
Specialized Museum (single topic/individual). What specialty:
    
 
History Museum
 
Historical Society
 
Military Museum/Battlefield
 
Nature Center
 
Natural History Museum
 
Presidential Library
 
Science/Technology Center/Museum
 
Transportation Museum (air & space, auto, maritime, train)
 
Visitor Center/Interpretive Center
 
Zoo/Animal Park
 
 
All institutions must select at least one of the first two priorities. Priority #1: Eat healthy, get active exhibits Click here for examples of eat healthy, get active exhibits.
We will do this. We currently do this. Not applicable to our institution.
Offer interactive experiences or exhibits that provide messages about healthy choices to visitors and to track our number of visitors.
 
Tell us more! If you have responded "We currently do this,” please tell us a bit more about your exhibit(s):
 
   
 
 
Priority #2: Learning about healthy food choices and physical activity through afterschool, summer and other programs Click here for examples of programs.
We will do this. We currently do this. Not applicable to our institution.
Offer afterschool, summer and other programs that include messages about healthy choices and to track our number of participants in such programs.
 
Tell us more! If you have responded "We currently do this,” please tell us a bit more about your program(s):