Rally for the Jimmy Fund - Your Story

Already have a Rally username and password?
Click here to autofill this form.

We want to hear from you. If you have an interesting story about why you or your team is participating in Rally for the Jimmy Fund, and you don't mind sharing it with the media, please tell us. Let us know if you are honoring a co-worker, are battling cancer yourself, or have an office wallpapered in Red Sox paraphernalia. The Jimmy Fund Communications Department may be in touch to promote your efforts in your community newspaper or on the Jimmy Fund facebook page.
* required information
Why I Rally 
Contact Information
Title:
First Name:*
Middle Initial:
Last Name:*
Suffix:
Company/School Name:*
Business Address Line 1:*
Business Address Line 2:
Business City:*
Business State:*
Business Zip Code:*
Business Phone:*
Email:*
Local Newspaper:
My Rally Team Name:*
Why I Rally:*
Additional Information
URL of your Rally video:
Upload your Rally video: Click here to attach file
Rally Team Coach:*
        

Dana-Farber Cancer Institute The Jimmy Fund

The Jimmy Fund is a 501(c)(3) organization.
© 2015 Dana-Farber Cancer Institute Inc. All Rights Reserved.

Before submitting any personal information, please read our Privacy Policy.