Survivor Inquiry RTRGR 2019
Greetings Warrior! Thank you for your interest in being one of our highlighted Breast Cancer survivors for Rock the Runwaygr 2019. For 9 years we have used our show to help increase Breast Cancer awareness in our urban community. The show is all about you warriors. Each year our show gets bigger and bigger with our biggest audience last year hosting over 575 people who came to celebrate amazing survivors in our community.

For 8 years we have offered a free makeover and photo shoot to the survivors weeks before the show. With our increased numbers of survivors, we are only able to provide the photo shoot to 8 survivors.
*** This year we will open up the photo shoot to survivors who have never participated in our photo shoot before.**** After you fill out this inquiry you will receive a separate email about the photo shoot. The first 8 survivors that sign up will be confirmed for the photo shoot with details.

Every survivor that is interested has the opportunity to rock the runway the night of the show, October 12th. If you want to rock the runway the night of October 12th in Grand Rapids, MI please note that below. We have distinguished male leaders from our community who will escort you across the stage. if you have rocked the stage in our show before you can definitely rock the stage again this year. Deadline to sign up to rock the runway is August 15th.

If you are not comfortable rocking the runway but would still like to be highlighted, we have a way for you to participate silently from the audience. More details will be given but this will involve holding a sign from the audience.

This form is simply the initial gathering of information to help us assess our number of survivors for 2019.

Deadline to sign up to rock the runway is August 15th.

Email address *
Are you a Breast Cancer Survivor *
Your answer
What year were you diagnosed with Breast Cancer?
Your answer
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Have you ever participated in Rock the Runwaygr as a Breast Cancer Survivor before. *
Preferred Method of Contact *
Age *
Would you like to Rock the Runway the night of the show October 12th? (full details will be sent separately) This involves a couple clothing fittings ( TBD) and 1 rehearsal October 11th ( in the evening)
Are you interested in the photo shoot and makeover? This year the photo shoot is available to survivors who have never participated in our photo shoot before. (Not guaranteed but separate email will be sent for you to sign up. First eight signups are guaranteed photo shoot)
Have you ever participated in one of or RTRgr survivor photo shoots?( This shoot is usually several weeks before the show)
How did you hear about RTRgr 2019?
Your answer
What would you like us to know about you? ( optional)
Your answer
A copy of your responses will be emailed to the address you provided.
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