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2. Participation Checklist
   Participation with HEAL Schuyler logo requires the following:
4. 1. Display provided HEAL Schuyler logo.
5. 2. Meet one standard within 3 out of 4 categories
7. 1. Entrees

   1. Offer at least one baked/broiled fish or poultry entree

   Select one standard
8. 3.Sides

   1. Offer at lease one whole-grain
   2. Offer side salad or vegetable rather than french fries at no extra charge
   3. Offer a choice of fruits and vegetables prepared without added fats
   4. Offer option for a smaller soup servings
   5. Offer salad dressing on the side

   Select one standard
10. 2. Children Meals

    1. Include healthier beverage option (reduced fat, 2% milk, low fat 1%, non-fat milk, non dairy
    2. Offer fruits and vegetables as part of all children's meals

    Select one standard
11. 4. Portion Sizes

    1. Offer options for smaller entree portions ( At least 1/3 smaller than full size meal)
    2. Offer to serve half entree with remainder provided in to-go container
    3. Offer additional utensils/plates for sharing (entrees/desserts)
    4. Discontinue Offering Free Refills on Sugar Sweetened Beverages
    5. Offer gravies/sauces on the side

    Select one standard
13. Restaurant Name:
15. Contact Name and title (owner or manager)
17. Address
18. Phone
20. What is the best time to call?
21. Email
23. Date and Time
    Date and Time

    Date and Time
24. By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if my restaurant is accepted as an HEAL Schuyler restaurant, any false statements, omissions, or other misrepresentations made by me on this application may result in my removal from the program.
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26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

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