Survey - 2020 Bridgehampton Half Marathon - The ALS Association Indiana Chapter

*

Question - Required - Full Name:

Please choose your preferred Team ALS event and fundraising level:

*

Question - Required - Bridgehampton Half Marathon - 5/7/2020

I would like to be considered for guaranteed entry for the HALF MARATHON - minimum fundraising requirement - $750

I have already been accepted but would like to race with Team ALS - suggested fundraising goal - $500

*

Question - Required - E-mail address:

*

Question - Required - ADDRESS - please include City, State & Zip Code:

(Maximum response 255 chars, approx. 5 rows of text)

*

Question - Required - Phone Number:

*

Question - Required - I wish to participate...

In Memory of:

In Honor of:

To Support the Fight:

*

Question - Required - Honoree Name:

*

Question - Required - How did you hear about Team ALS?

	Social Media
	ALS Association Greater New York Chapter Website
	Friend
	New York Road Runners
	Hamptons Marathon Website
	New Jersey Marathon Website
	NYC Triathlon Website
	Crowdrise

*

Question - Required - Have you participated in a race with Team ALS before? If yes, please list event name and year.