Exit this survey Seattle Humane's Charity Athlete RSVP 1. Seattle Humane Society's Charity Athlete Program Question Title * 1. Please provide your contact information so we can keep you informed about Seattle Humane's Charity Athlete activities and events. Name: * Company: Address: Address 2: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code: Country: Email Address: * Phone Number: * Question Title * 2. I am interested in signing up for Seattle Humane's Charity Athlete fundraising program and participating in the follwing race(s)(select all that apply): Rock 'n' Roll Marathon, June 25, 2011 Rock 'n' Roll 1/2 Marathon, June 25, 2011 Seattle to Portland Bicycle Classic (STP), July 9-10, 2011 Unsure of event(s) I won't be able to race, but I am interested in joining the Seattle Humane Cheer Squad and supporting our athletes by cheering or helping out at an event. Not interested Question Title * 3. I would like to attend an informational meeting about Seattle Humane's Charity Athlete fundraising program at: October 26, 2010 from 5:00-6:00 p.m., Seattle Humane Society Meeting Room (Driveway B) (13212 SE Eastgate Way, Bellevue 98005) November 4, 2010 from 5:30-6:30 p.m., Seattle Humane Society Meeting Room (Driveway B) (13212 SE Eastgate Way, Bellevue 98005) I am unable to attend an informational meeting, but would still like to be involved. Please contact me. Question Title * 4. I am also interested in learning about the new volunteer group, Jog-A-Dog, that provides exercise to high energy shelter dogs. Yes No Have questions about Seattle Humane's Charity Athlete fundraising program? Contact events@seattlehumane.org. Next