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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://shatterproofcyof.donordrive.com/campaign
/
Campaign Date
*
Show a date for your campaign on your fundraising page.
Fundraising Goal
*
$
Make a Donation
*
Yes! I’d like to make a donation toward my fundraising goal.
No thanks.
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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