Start a Dance Marathon Ready to join the national movement and bring Dance Marathon to your school? Tell us a bit about yourself and fill out the form below! Have some questions first? Contact dancemarathon@chtrust.org. 1. Contact informaiton: Name: Field Is Required First Field Is Required Last Email: Field Is Required Email: Primary Phone Number: Field Is Required Primary Phone Number: Yes, I would like to receive e-mail from Boston Children's Hospital 2. Field Is Required When do you plan to host your Dance Marathon? 3. Field Is Required Dance Marathon type: Middle School High School College/University 4. Field Is Required School name: 5. Field Is Required School location (city, state): 6. Field Is Required How are you affiliated with this school (i.e. student, faculty, staff, administration)? 7. Field Is Required What grade are you currently in or what is your job title? 8. Field Is Required Will your Dance Marathon be affiliated with a student organization (i.e. Sorority, National Honor Society)? Yes No 9. If yes, what is the name of the student organization? (Maximum response 255 chars, approx. 5 rows of text) 10. Field Is Required How did you hear about Dance Marathon? Spam Control Text: Please leave this field empty
