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Intake form

Host a BE FAST Stroke Awareness Event

Thank you for your interest in hosting a BE FAST 5K Run / 1‑Mile Walk for Stroke Awareness at your hospital or health system. This intake form helps us understand your goals, timeline, and needs so we can determine the best licensing and support options for your event.

The BE FAST 5K is designed to support:

Stroke awareness and prevention education
Community engagement and outreach
Nursing and clinician education opportunities
Patient assistance and charitable fundraising

Hospital / Organization Information

Organization Name *

Primary Contact Name *

Title / Role

Email Address *

Phone Number

Proposed Event Date

Proposed Event Time

Estimated Number of Participants

Is this your first community run/walk event?

Goals for Hosting a BE FAST 5K

What are your primary goals for this event?

(Select all that apply)

Community stroke awareness and education

Stroke prevention outreach

Fundraising for patient assistance

Nursing/clinical education (e.g., CE opportunities)

Community branding and engagement

Other

Do you plan to raise funds through this event?

If yes, how do you plan to use the funds?

Licensing & Support Needs

Which support services are you interested in?

(Select all that apply)

BE FAST 5K licensing and trademark use

Event branding (logos, shirts, signage)

Marketing and promotional materials

Website or registration page support

Educational materials (stroke awareness, BE FAST messaging)

Guidance on race planning and logistics

Does your hospital already have a foundation or nonprofit partner?

Stroke Program & Education

Does your hospital have a designated stroke program?

Additional Information

Please share any additional details, questions, or goals you have for hosting a BE FAST 5K®:

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LET’S MAKE A DIFFERENCE TOGETHER

Be aware. Be prepared. Let’s be fast to recognize the symptoms of a stroke + race to raise awareness.

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DONATEDONATE

BE FAST is a registered 501(c)(3) nonprofit organization (EIN: 39-3089927), all donations are tax-deductible to the extent permitted by law.

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Donate Now

Your donation fuels local impact.

At BE FAST Stroke Awareness, 90% of all donations are reinvested back into communities to help cover the costs of hosting BE FAST stroke awareness events. By reducing the financial barrier to participation, your support empowers hospitals and community organizations to create and sustain their own stroke patient assistance programs—expanding awareness, celebrating survivors, and helping patients overcome barriers to recovery long after race day.