2021 Registration Details Form Thank you for registering for the 2021 Run for Research Awareness. Please complete this form so we can provide the prizes you earn. Name as entered on registration: First Name*Last Name*Email*Select your state*AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingWill your dog be participating on the 5k event day with you?YesNoPlease indicate your t-shirt size:Adult SAdult MAdult LAdult XLAdult XXLAdult 3XLAre you a Homes for Animal Heroes adopter or foster volunteer?YesNoAre you a team captain?YesNoIf you are an AALAS member, please indicate your branch name:Including the 2021 Run, how many years have you participated in the Run for Research Awareness?1234TestimonialMay we publish your testimonial using your first name only?YesNoCommentsWould you like to be reached regarding your comments?YesNoFor expediency and cost efficiency, all prizes for team members will be delivered to team captains. If you wish for your prizes to be shipped directly to you, please have your team captain notify Homes for Animal Heroes by your event date.Send Error occured. Please confirm your data and submit again: