2024 Life Time Chicago Half Marathon & 5K Charity Program Application

Team Captain/Primary Contact

Question Title

* First Name

Question Title

* Last Name

Question Title

* Contact Information

Charity Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

Question Title

* Should the person submitting this application leave the organization prior to the race, who would be the best person for Life Time to communicate with, if necessary?

Name

Email

Phone