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Fundraising Page Information
Campaign Title
*
Page Link
*
Text entered in this field will be used as the final portion of your page's URL.
Custom page link requirements: only letters, numbers, dashes, or underscores.
Your page link:
https://fundraise.shatterproof.org/campaign
/
Campaign Date
*
Please select a date for your event. This can be a specific day you are planning your event, or an end date for when you plan to complete your fundraising. Your event will not close on this date and will still be visible to the public. You can also go in and edit this date at any time.
Fundraising Goal
*
$
Jump Start Your Fundraising!
*
Yes! I am taking the first step towards reaching my goal by making a personal donation toward my fundraising.
Not at this time.
Donation Amount
*
$
Registration Questions
Please select your event type:
*
[Select...]
Endurance
Memorial
Birthday/Wedding/Special Occasion
Shatter Stigma/Raise Awareness
Other
What is the primary way addiction has impacted your life? (optional)
[Select...]
I love someone with addiction
I have lost someone I love to addiction
I am a person in recovery
I am supporting someone in recovery
I don't have a personal connection to the cause, but I want to help
What is your sobriety date?
(ex: mm/dd/yyyy)
How did you hear about Shatterproof?
*
[Select...]
Social Media
Friend or Family Member
Local Media
I have participated in a Shatterproof event
Other
The company I work for supports Shatterproof
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