Survey - Run to Defeat ALS | Interested Participant - The ALS Association Greater Chicago Chapter

Run to Defeat ALS | Interested Participant

Please complete this form if you are interested in joining TeamALS for the 2020 Bank of America Chicago Marathon. This will allow us to keep in touch and circle back with you when registration opens (in mid-October 2019)!

1.

Please provide your contact information:

*

Name:

First Required	Last Required

*

Email: Required

Street 1:

Street 2:

City/State/ZIP:

City	State	ZIP

Phone Number:

If you respond and have not already registered, you will receive periodic updates and communications from The ALS Association.

Yes, I would like to receive postal mail from The ALS Association Chicago Chapter

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2.

Question - Not Required - How did you hear about the Run to Defeat ALS program?

3.

Question - Not Required - Have you ever participated in an endurance event, such as a marathon?

*4.

Question - Required - Do you have a personal connection to ALS? If so, please share if you are comfortable.