Endurance Race Application

Thank you so much for your interest in running with the Parkinson's ChampionsI

Use this application to apply for our Abbott World Major races and NYRR events. Do you need support filling out the application? Call or text 763-317-1308. Visit Run4PD.org for additional information or to directly register for our other race offerings.

Contact Information

First Name

Last Name

Mobile Phone

Birth Date:

Gender

Have you run as a Parkinson's Champion before?

Address

Address Line 1

Address Line 2

City/Town

Zip/Postal Code

Country

State

Provinces

Parkinson's Connection

What is your connection to Parkinson's disease?

Year of Diagnosis

Professional type:

Race Selection

1st Race Choice

2nd Race Choice

Runner Details:

Why do you want to run with Parkinson's Champions?

Tell us about your connection to the Parkinson's community.

All of our races require fundraising, tell us about your past fundraising experience, or how you plan to raise the minimum for your race?

Employer

Did you know that many employers offer gift matching programs? You can use matching gifts to help exceed your fundraising minimum. Learn more at Parkinson.org/MatchingGifts.

Parkinson's Foundation