Move United

Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Pronouns

She/Her/Hers

He/Him/His

They/Them/Theirs

Other - Please describe

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I identify my race as (select all that apply): *

Native American/American Indian /Indigenous or Alaska Native (i.e: Navajo nation, Blackfeet tribe, Mayan, Aztec, Native Village of Barrow Inupiat Traditional Government, Nome Eskimo Community, etc)

Asian (i.e.: Asian American, Chinese, Filipino, Asian Indian, Vietnamese, Korean, Japanese, etc)

Black or African American (i.e.: African American, Jamaican, Haitian, Nigerian, Ethiopian, Somalian, etc)

Hispanic, Latino/a/e/x or Spanish origin (i.e: Mexican or Mexican American, Puerto Rican, Cuban, Salvadoran, Dominican, Colombian, etc)

Middle Eastern or North African (i.e: Lebanese, Iranian, Egyptian, Syrian, Moroccan, Algerian, etc)

Native Hawaiian or Other Pacific Islander (i.e.: Native Hawaiian, Samoan, Chamorro, Tongan, Fijian, etc)

White (not Latino, Black, etc)

Multiracial

Prefer not to share

Other

I identify my Gender as (select all that apply): *

Woman

Man

Non-binary

Transgender

Cisgender

Prefer to Self-Describe

Prefer not to say

Other - Please specify

Disability (select all that apply):

Acquired Brain Injury (Traumatic & Non-Traumatic)

Blind or Low Vision

Deaf or Hard-of-Hearing

Dwarfism or Short Stature

Cognitive/Intellectual or Specific Learning Disability (Including Severe ADD/ADHD, Nonverbal Learning Disability Autism (ASD), Down Syndrome)

Mobility Impairment and/or Limb Loss/Deficiency (SCI, Spina Bifida, Transverse Myelitis, Amputation, Burns, Joint Injury)

Neuromuscular (CP, Hemiplegia, MS, Muscular Dystrophy, Nerve Damage, Polio, PTS, Stroke)

Not Listed

I do not identify as having a disability

Prefer not to say

Are you a Veteran with a disability?

Yes

No

How did you hear about Gator Cup? *

Move United

The Hartford's social media channels

Local Organizing Committee: Easton Newberry Archery Center

Word of Mouth

Other, please list

How many years have you been attending this event? *

New to Gator Cup

2 years attending

3-4 years attending

5-9 years attending

10+ years attending