Stand 4 Thrive
Lemonade Stand Sign Up
Full Name
*
First Name
Last Name
Phone Number
*
10 digit phone number
Format: (000) 000-0000.
E-mail
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you hosting alone or with a group (e.g. Girl Scouts, school, business)?
*
Alone
Group
Name of organization/group?
What date are you hosting your stand?
*
Saturday, August 2
Sunday, August 3
Other
Social media handles (Facebook, Instagram, X)?
Do we have permission to share photos/videos (opt-in for use in promotional and marketing)?
*
Yes
No
Are you willing to be featured in media/press stories?
*
Yes
No
Have you been directly affected by breast cancer?
*
Yes
No
Prefer not to answer
Would you like to dedicate or honor someone specific with your stand?
Submit
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