moveathon pledge

Sign-ups and Pledges

To sign up to join the Mountain Lake PBS Move-a-thon, or to support a participant, please fill out the form below.

If you have any questions, please contact Beth Davis at 518-324-0125 or bdavis@mlpbs.org!

How do you want to support the moveathon? *

Pledge to support a participant

➜ Download a form to track your pledges here

Entry Level *

Single ($100)

2 People ($150)

Family/Group 3+ People ($175)

Business ($200)

Participant's names and T-Shirt sizes
(example: Suzie Q. Public - child medium) *

May we include the names of participants in our online/on-air participant roll? *

Yes

Who are you pledging to support? 🛈

Donation Amount *

First Name *

Last Name *

Email Address *

Phone Number *

Street Address *

City *

State/Province *

Zip/Postal Code *