Cancer to Crushing It Enrollment

Thank you for your payment. To complete your registration for the Cancer to Crushing It virtual 5K training program, running from June 16-July 27, please complete this form.

If you are completing this form after the 15 spots have been filled, you will be added to the cohort waitlist.

Questions? Contact cancertocrushingit@livestrong.org.

Name(Required)

First Last

Email(Required)

Phone(Required)

Birthdate(Required)

Time Zone(Required)

T-Shirt Size(Required)

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please share a sentence or two about your cancer journey.(Required)

Releases

Photo Release: I agree that my name and photo may be shared on Livestrong's website, social media, and promotions.(Required)

Agree

I intend to complete the Cancer to Crushing It program.(Required)

Agree

I have consulted my physician about this exercise program and they encouraged me to proceed. I agree I am participating in this exercise program at my own risk.(Required)

Agree

Livestrong may share my email and phone number with my cohort of Cancer to Crushing It teammates.(Required)

Agree

My Cancer to Crushing It trainer can text me.(Required)

Agree

I will download the Strava app to track my progress and connect with teammates.(Required)

Agree

Running plans will be sent on Sunday evenings. If you do not see the plan in your inbox by Monday morning, please check your spam folder.(Required)

Agree

Your Cheerleader

Who is your Cheerleader? Please share the name of one person who will be supporting you throughout this process.

First Name Last Name

Your Cheerleader's Phone

Your Cheerleader's Email