Athleta & Tina’s Wish Community Runs + Shop for a Cause Events Registration & Donation

Fill out the form below to register for an upcoming Athleta & Tina’s Wish Community Run + Shop for a Cause Event and make a donation to Tina's Wish. Please contact Nikki Maniscalco, nmaniscalco@tinaswish.org, 212.895.1343 with any questions.

Gift Information

Donation Amount*
  • $5
  • $10
  • $25
  • $50
  • $100
  • Other $

Donor Contact Information

Company
Country*
Email*
Confirm Email*
Phone*
Please indicate the date(s) you would like to attend:*
  • 7/2/2019
  • 8/6/2019
  • 9/3/2019
  • 10/1/2019
  • 11/5/2019
  • 12/3/2019

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments
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