Survey - 2023 NYC Marathon Application - RESOLVE: The National Infertility Association

1. Please fill out the following information:

Title

Field Is Required First Name

Field Is Required Last Name

Suffix

Professional Suffix

Field Is Required Date of Birth:

Field Is Required Gender:

Employment Information

Field Is Required Employer:

Field Is Required Street 1:

Street 2:

Field Is Required City/Town:

Field Is Required State / Province:

Field Is Required ZIP / Postal Code:

Country:

Field Is Required Email:

Field Is Required Phone Number:

Yes, I would like to continue or start receiving email communication from RESOLVE.

Yes, I would like to receive postal mail from RESOLVE: The National Infertility Association

2. Field Is Required What is your occupation?

3. Field Is Required Registration status: (Choose one)

I need a charity bib and agree to fundraise at least $3,000 for RESOLVE. In addition, I am responsible for the entry fee into the NY City Marathon
I already have my own bib but want to be on the team and agree to fundraise at least $1,500 for RESOLVE

4. Field Is Required Fundraising Goal (minimum $3,000):

5. Field Is Required Fundraising experience: (Choose one)

6. Field Is Required What is your fundraising plan? How will you meet your fundraising goal? (Maximum response 255 chars, approx. 5 rows of text)

7. Field Is Required Running level: (Choose one)

I am an avid runner and have finished one or more marathons
I am a first time marathon runner but have run in half marathons
I am a recreational/fitness runner and have participated in short races (5K, 10K)
This is all new to me

8. Field Is Required Why do you want to join RESOLVE's team?

9. Field Is Required What is your relationship to infertility?

10. How did you hear about joining our team?

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