Help Us Help Move-A-Thon 2020

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In order to officially become a participant in Help Us Help's Independent Move-A-Thon, individuals must complete this form!

Email *

CHOOSE YOUR ACTIVITY

Challenge yourself to independently bike a Centurion (160 km), run a Marathon (42 km), swim a Marathon (10 km), paddle a Marathon (30 km) - whatever you would like! - in one day OR reach a cumulative distance in any activity throughout the last month of summer (Aug 7 - Sept 7, 2020)!

I pledge to set and complete a distance goal by Labour Day weekend (September 7, 2020) *

Yes

What is the activity/activities you are choosing? *

What is your distance (km) goal? *

Will you achieve your goal in ONE DAY or cumulatively (over a week, a month, or another time-frame)? *

One day

Cumulatively

Indicate the anticipated date(s) between August 7 and September 7 2020. *

FUNDRAISING

Choose your favourite project!

I pledge to fundraise a minimum of $75 for a Help Us Help Project of my choosing. *

Yes

Which Help Us Help Project are you raising funds for? *

COVID-19 Children's Relief Initiative

The Scholarship Program

The Return / Повернення (Veteran's Project)

Help Us Help The Children (Summer and Winter Camp)

General

Other:

Help Us Help Sweatshirts

HUH is offering a free branded sweatshirts for fundraisers who raise $500 or more! Alternatively, pay $75 for a Help Us Help Sweatshirt! Please provide us with some information below to make this a possibility!

Which option best describes you? *

Adult (13+): I aim to raise at least $500 to earn a free sweatshirt

Youth (0-12): I aim to raise at least $250 to earn a free sweatshirt

I will pay $75 to buy a sweatshirt

I don't want a sweatshirt

What size sweatshirt do you want to order?

XXL

Adult

Youth

Clear selection

What is your mailing address (street, number, unit)? *

What city, province/state and country do you live in? *

What is your postal code? *

Safety and Liability

This campaign is open to all athletes of all skill levels! You are responsible for your own safety, as it relates to terrain, nutrition, technical support, weather, gathering of groups (COVID-19 pandemic), and injuries related to your activity(ies) of choice! If under 18 years of age, a parental guardian must agree to participation in this fundraiser

I understand that I am responsible for my own health and safety. I agree to take the necessary precautions to mitigate any risk(s) associated with participating in the Move-A-Thon. *

Yes

Required

Help Us Help's Move-A-Thon Waiver

I have read Help Us Help's Move-A-Thon Waiver (above) and agree to its contents, freeing Help Us Help from any liability related to training for, participating in, or celebrating the completion of the activity of choice. *

I certify I am 18 years old or older and agree to all of the above

I certify that I am the legal guardian of the participant (under 18 years of age) and agree to all of the above

Required

Name of participant *

Name of signing authority: participant (18 years +) or Legal guardian of participant (if under 18 years of age) *

Submit

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