Bring Your Own Bib (B.Y.O.B.)

Fundraising Page Information

Campaign Title*

Page Link*

Custom page link requirements: only letters, numbers, dashes, or underscores.Your page link: https://fundraise.lungevity.org/campaign/

Campaign Date*

Show a date for your campaign on your fundraising page.

Fundraising Goal*

Make a Donation*

Yes! I’d like to make a donation toward my fundraising goal. Not at this time; I will reach my goal by raising funds and/or donating later.

Registration Questions

T-shirt size*

No shirt Adult XS Adult S Adult M Adult L Adult XL Adult 2XL Adult 3XL

Expected finish time (HH:MM:SS)*

Is this your first time racing this distance?*

Yes No

How did you hear about Team LUNGevity?*

Which of the following best describes you?*

Lung cancer patient/survivor Lung cancer caregiver Healthcare professional Industry partner/sponsor LUNGevity staff Other interested person No connection to lung cancer

Birth date (MM/DD/YYY)*

(ex: mm/dd/yyyy)

What gender do you identify as?*

Which of the following race/ethnicity identifiers best describe you?*

Asian or Pacific Islander Black or African American Hispanic or Latinx Native American White or Caucasian Prefer not to say Other

What best describes your level of education?*

Employer

Do you have a public social media profile with more than 1,000 followers? Enter your social media handle if you are interested in being contacted about team perks.

Joining Team LUNGevity creates your fundraising page, but registration at the race website is still required.*

I understand that I need to register for the race separately. I have already registered and paid my entry fee at the race website.