2020 Live Healthy Iowa 5K - Community Host Application
Thanks for your interest in hosting a Live Healthy Iowa 5K on Saturday, September 19, 2020, in your community! Please complete the application below and submit by Friday, December 20, 2019, at 11:59 pm. Up to 25 communities will be selected and announced on Monday, January 13, 2020.

If you have any questions, please contact Nicole - nicole.kennedy@livehealthyiowa.org or (515)292-3251 ext. 118.
Email address *
Community *
Your answer
Event coordinator name *
Your answer
Company/organization name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip code *
Your answer
Email *
Your answer
Phone *
Your answer
Assistant coordinator name (recommended)
Your answer
Email (recommended)
Your answer
Are you aware of potential 1K and 5K race routes in your community?
How does your community plan to use the proceeds from the event? *
Your answer
Name of entity receiving proceeds following the event *
Your answer
Entity contact name *
Your answer
Entity address *
Your answer
City *
Your answer
State *
Your answer
Zip code *
Your answer
Email *
Your answer
Phone *
Your answer
A copy of your responses will be emailed to the address you provided.
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