2024 #BlueForCRC Registration

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If your organization is going BLUE in March, OR if you are arranging for a local public landmark to GO BLUE please complete this form. If submitting multiple locations, there is a space for that.

Be sure to include #BlueforCRC in any social media posts.

Visit https://coloncancercoalition.org/blueforcrc after Feb. 24, 2024, for a list of participating organizations and landmarks nationwide.

If you have trouble with this form, please send the required information to erin@coloncancercoalition.org.

Email *

Today's Date *

YYYY

Your Name *

Your phone number *

I am a (select all that apply) *

A CRC patient or survivor

A CRC caregiver

Representing a health care organization

Representing a public or private landmark

Other:

Required

I am submitting *

One location

Multiple locations

Name of Organization(s) or Landmark(s) to "GO BLUE" - please list EXACTLY as it should be listed on the website.
*

City where landmark or organization is located - if submitting more than one location, and they are not in the same city, please be sure to make clear which location in which city.
*

State *

I confirm that I am a representative of this organization/landmark or I have requested and received confirmation from a representative of this landmark that they are participating in #BlueForCRC.
*

Yes

Date(s) the organization or landmark will GO BLUE. Target week is Friday, March 1 through Sunday, March 10. If one night is available, we request Tuesday, March 5. But any time in the month of March is great.

What is this organization or landmark doing to GO BLUE? (Exterior lights, internal employee engagement, patient or customer education, etc.)

X (formerly Twitter) handle associated with organization or landmark

Instagram handle associated with organization or landmark

Link to organization or landmark Facebook page.

Link to organization or landmark LinkedIn page.

Any additional details we should know?

I am submitting a photo of my landmark(s) for website consideration.

(please email photos to erin@coloncancercoalition.org)

Yes

Thank You!

You may submit this form again for another landmark or location.

A copy of your responses will be emailed to the address you provided.