Complete the form to join the Pink Army Foundation Program
This form is designed to get to know you better. Some questions may be personal, but you are free to answer only those you feel comfortable sharing.
For the first year of Pink Army’s launch, we will be able to support 20 individuals as a Pilot Program. Our team will contact you to let you know if you are selected as one of the first fighters to be supported, and we will then ask for a few additional details.

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* 1. Information about yourself

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* 2. What is your date of birth?

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* 3. What stage of your breast cancer journey are you in?

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* 4. How has your perspective changed throughout your breast cancer journey?

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* 5. Why are you interested in joining the Pink Army Foundation program?

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* 6. Have you ever participated in a MUDGIRL?

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* 7. How do you see exercise playing a role in your recovery and empowerment?

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* 8. What are your personal goals for this program?

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* 9. Would you be willing to dedicate at least 3 to 4 hours per week to your physical and mental well-being?

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* 10. Would you be open to committing to a 12-week program to support your physical and mental health?

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* 11. Does the idea of taking on a sports challenge at the end of the year motivate you (half marathon,10k, 5k..)?

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* 12. Are you willing to travel for program-related events or activities?

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* 13. Do you have any other physical limitations or medical considerations we should be aware of?

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* 14. Would you be interested in sharing your story to inspire others in the community?

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* 15. What does being a Fighter mean to you? Feel free to share your story.

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* 16. What do you hope to achieve by submitting this form?

Our team will be in touch with you shortly to share the next steps. If you are chosen to be one of the 15 Fighters , we will request a few additional details to finalize your involvement.

Please keep an eye on your email for any further communication and updates regarding the next steps.

Warm regards,

The Pink Army Foundation Team

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