The Governor's Council on Physical Fitness, Health & Sports, and the Michigan Fitness Foundation

Safe Routes to School Programs

Michigan Governor’s Council on Physical Fitness
Endorsement Application

The Governor’s Council on Physical Fitness endorses local, regional, and state events that are consistent with the Council’s mission to Get Michigan Moving. A Governor’s Council endorsement publicly acknowledges your organization’s ability to plan and carry out a quality event that significantly contributes to the health and well-being of Michigan residents

Benefits of a Governor's Council Endorsement:

Permission to use the Governor’s Council on Physical Fitness logo on all promotional materials including t-shirts.
Promotion of your endorsed event on the Governor's Council on Physical Fitness website.
Acknowledgement on the Council's website of your organization's commitment to providing quality physical activity opportunities for Michigan residents.

To apply for event endorsement, read and complete the following questionnaire, then click on ‘submit application’. The endorsement committee will review your application, assess your event based on the criteria listed, and determine your eligibility. If your event qualifies, you will be notified within two to three weeks of your application.

Click here to exit the endorsement application and return to the Labor Day Bridge Run page.

Organization Information

Event/program name:

Event date(s):

Presenting organization:

Primary contact:

Title:

Organization:

Address:

Phone:

Fax:

Email:

Web Address:

Alternate contact:

Title (alternate):

Organization (alternate):

Address (alternate):

Phone (alternate):

Fax (alternate):

Email (alternate):

Web Address (alternate):

Event/Program Endorsement Criteria

The following criteria will be considered in the endorsement application process. Check all that apply to your event/program.

	The presenting organization/event host has good credibility with its constituents and event/program participants.
	The event/program will provide a positive experience for its participants.
	The event/program will be conducted by qualified officials (if applicable).
	The applicant will provide a safe environment for its participants. Appropriate safety equipment will be worn by all participants (e.g., helmets in bicycling events and shin guards in soccer events).
	Adequate and appropriate medical supervision and support, including emergency preparedness, will be provided during the event/program.
	The presenting organization/host will have liability insurance for the event/program and will inform participants of their responsibility to obtain personal injury insurance.
	Sponsors of the event/program will not produce and/or sell alcohol or tobacco products as their primary business.
	The event/program will be presented/hosted by a nonprofit organization and will be operated on a self-supporting financial basis with any proceeds going to a nonprofit or charitable organization.

Event/Program Information

Type of event (check all that apply):

Competitive sports event	Sports clinic	Sports camp
Fitness event (participants are physically active)		Health/fitness fair
Other:

Event type (Use Ctrl+Click to select multiple):

Event/program description (list sports if applicable):

Event/program purpose:

Number of years event/program has been held:

Has this event/program received previous endorsement from the Council? Yes No

Is this a statewide event? Yes No

Location of event/program (city):

Location of event/program (county):

If multiple sites, list all cities and counties:

Participant Information

Estimate number of participants:

Age range of participants:

Description of participants (check all that apply):

Experienced athlete	Occasional athlete	Non-athlete/new participant
Adult male	Adult female	Senior citizen (over 60)
Youth (ages 12-18)	Children (under 12)
Does your event seek to involve any of the following?
Physically disabled	Developmentally disabled	Sedentary population

Sponsor/Promotion Information

Is your event/program sponsored by companies that produce or sell alcohol or tobacco products as their primary business? Yes No

Please list your financial and in-kind sponsors:

How is your event/program promoted? (Check all that apply.)

Direct mail	Press releases	Paid advertising
Public service announcements	Through sports/club networks	Web site
Other:

Liability Disclaimer

All liability to third parties, loss or damage as a result of claims, demands, costs, or judgement arising out of activities to be carried out by the program presenter/host are the responsibility of the presenter/host and not the responsibility of the Governor's Council on Physical Fitness, Health and Sports or the Michigan Fitness Foundation.

Endorsement of the proposed event/program does not constitute endorsement of the presenting or sponsoring organization or the products used during the event.

Digital Verification

By submitting this form I hereby verify that I have read the Event/Program Endorsement Criteria and certify that the above event/program meets all minimum requirements. Therefore, I request the endorsement of the Governor's Council. I understand that if granted, the endorsement is awarded on a one-time-only basis and I must re-apply for future endorsement. If at any time the presenting/host organization changes and the event/program no longer meets the minimum criteria for a Council endorsement, the Governor's Council will be notified immediately in writing. I further certify that I am authorized to submit this application for approval on behalf of the presenting/host organization.

Describe your role with the presenting organization or host:

Please verify the authenticity of this submission by copying the code you see below into the input box:

If a problem occurs during submission, please contact Tricia Fraas at 800-4FIT-MICH

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Michigan Governor’s Council on Physical Fitness Endorsement Application