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Bring Your Own Bib (B.Y.O.B.)
Fundraising Page Information
Campaign Title
*
Page Link
*
Text entered in this field will be used as the final portion of your page's URL.
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.
Donation Amount
*
$25
$50
$100
$250
$500
Other
$
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?
*
LUNGevity website
Race website or expo
LUNGevity event
I am a previous Team LUNGevity athlete
Friend/family (word of mouth)
Poster/brochure
Social media
Healthcare provider or support group
Internet search
Other
Referred by:
*
Other:
*
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?
*
[Select...]
Female
Male
Non-binary
Prefer not to say
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?
*
[Select...]
Some high school
High school diploma or GED
Some college
College degree
Postgraduate
Prefer not to say
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.
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