I’D LIKE TO ATTEND AN MDA SOCIAL OR LEARN MORE ABOUT MDA TEAM MOMENTUM. 

If you have any issues submitting your survey responses, please contact us at mdateam@mdausa.org.

  Please complete the form below. One of our Endurance Managers will contact you to share important details about MDA Team Momentum, MDA Team Momentum Socials, and upcoming events.

*

*

*

 

 

 

 

 

 

 

 

If you respond and have not already registered, you will receive periodic updates and communications from Muscular Dystrophy Association.


*


*


   


 


 
Question - Not Required - BOSTON Area: I am interested in attending an MDA Social in the Boston area on:

 
Question - Not Required - WASHINGTON D.C. Area: I am interested in attending an MDA Social in the Washington D.C. area on:

 
Question - Not Required - DALLAS FORT WORTH Area: I am interested in attending an MDA Social in the Dallas Fort Worth area on:

 
Question - Not Required - DENVER Area: I am interested in attending an MDA Social in the Denver area on:

 
Question - Not Required - SAN DIEGO Area: I am interested in attending an MDA Social in the San Diego area on:

 
Question - Not Required - NEW YORK CITY Area: I am interested in attending an MDA Social in the New York City area on:

 
Question - Not Required - MIAMI/FT. LAUDERDALE Area: I am interested in attending an MDA Social in the MIAMI/FT. LAUDERDALE area on:

 
Question - Not Required - VIRTUAL INFO SESSION: I am interested in attending a Virtual Social via call-in and webinar. (Call-in number: 712-432-1500, Passcode: 151543; webinar link will be sent prior to call)

 

 

MDA Staff Only:

   


   


   


   Please leave this field empty
 

Thank you to our National MDA Team Momentum Sponsors!