Team Reeve Athlete Application - Christopher and Dana Reeve Foundation
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Team Reeve

Interested in becoming a Team Reeve athlete? We have a limited number of guaranteed entries for the Virgin London, Bank of America Chicago, Marine Corps and ING New York City Marathons. Please fill out our athlete application below.

* required information
Team Reeve Athlete Application
 
Contact Information
First Name:*
Middle Initial:
Last Name:*
Mailing Address Line 1:*
Mailing Address Line 2:
City:*
State:*
Province:
ZIP/Postal Code:
Country:*
Phone:*
Business Phone:
Fax:
Cell Phone:
Email:*
Birth Date:*(mm/dd/yyyy)
Gender:* Female   Male  
Company Name:*
Job Title:
Does your employeer match charitable donations?:* Yes
No
Don't know
How did you hear about Team Reeve?:*
In 300 words or fewer, why do you want to join TEAM REEVE?:*
In 100 words or fewer, what fundraising experience do you have?:*
STATUS:* I already have an entry spot secured, and would like to join TEAM REEVE.
I do not have an entry spot secured, and would like to join TEAM REEVE.
I want to run: (Check all that apply):* Boston (min. fundraising requirement $5,000)
London (min. fundraising requirement $4,000)
Marine (min. fundraising requirement $1,500)
Chicago (min. fundraising requirement $1,000)
New York (min. fundraising requirement $4,000)
Predicted finish time::*
Shirt Size Preference (Male/Female specific):* XS
S
M
L
XL
XXL
If you Twitter, what is your username:
Are you on Facebook: Yes
No
Are you a member of our Paralysis Community: Yes
No
Terms and Conditions
I've read and agree to your Terms & Conditions.:* Yes
No
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