Share a Story (What Empowers You?)

First Name*

Last Name*

Email Address*

Age*

City

State

Sport*

What Move United event or grant program are you associated with?*

Select all that apply

#The Hartford Equipment Chapter Grant
#Elite Team Equipment Grant
Competition Series
None of the above

I am currently participating in:*

Check all that apply

Interscholastic Sports
Community Recreation Programs
Community Competitive Programs
Team USA National Team
Team USA Development Team
Team USA Paralympic Team
I am not participating in organized sports at this time

Have you or will you be attending any of these regional games or competitions in 2021?*

Check all that apply.

Winter Competitions or tournaments
Move United Sanctioned Competitions
Endeavor Games UCO
Angel City Games
Great Lakes Regional Games
Desert Challenge Games
Other

Please share what winter competitions or tournaments

Did the equipment help improve your performace in your sport?*

Yes
No

How did the equipment improve your performance?*

Check all that apply

How did the participating in the Move United Sanctioned Competitions improve your performance?*

Check all that apply

Please elaborate on how the equipment impacted your performance*

We would love to share why this equipment is a game changer or words of gratitude with The Hartford!

Please share any additional information on recent achievements, including personal record time, medals/placements in competitions; challenges, links to media, etc.*

Action Photos/Videos:

Maximum allowed on this server: 100MB

Drop files here or

Max. file size: 64 MB.

Sharing your story can encourage others potential athletes and demonstrate the importance of adaptive sports. Are you willing to share your story online or with media?*

Yes
No

I would like to share my social media usernames:

Ex.) Instagram= @joesmith123

Name

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