Before filling out the application. Make sure you have read & understand the team commitment and minimum fundraising amount.

Name
Address
Phone:
-
E-mail
Employer
Position/Title
Company Address
Sex
DOB
Age on 4/16/2018
How did you hear about Title IX Girls Marathon Team?
Why do you want to join the Title IX Girls Marathon Team?
What is the biggest life lesson you’ve learned from running?
What motivates or inspires you? Do you have a favorite running song/mantra?
Are you part of a running club? If so, which one?
Have you participated in a marathon before?
If so, please list the marathon(s) year(s) and finish time(s)
If you have not completed a marathon before what is the longest distance you have run?
What is the weekly mileage you currently run?
Do you have any prior injuries or specific reasons which would concern you about your ability to complete a marathon? If yes, please explain:
Are you on Facebook?
Facebook name:
Are you on Twitter?
Twitter handle:
Do you have a blog?
URL:
Have you ever fundraised for an organization before?

If yes, please complete the following:

Name of Event
Charity Name
Date of event
Amount raised
What is your fundraising goal for 2018 Boston Marathon?
Do you have any other experiences fundraising for non-profit organizations?
If yes, please explain:
What fundraising methods are you planning to utilize to raise your committed amount? Please explain in detail:

Please note: Title IX Girls Marathon Team staff and mentors will work with you to discuss and help plan your fundraising strategy to help you reach your goal fundraising commitment. In addition each runner will have a personalized on-line fundraising page on crowdrise.com.

Does your company have a matching gifts program?

Many companies match employees’ charitable contributions. You can check with your employer to see if your company has this program, and ask donors if their employers match gifts. Many companies issue matching gift checks quarterly or semi-annually: therefore if you plan to use a match to reach your committed amount, it is your responsibility to contact the matching company to ensure the check will be issued before the race date. If the companies match cycle is past the race date, or for some reason, Title IX Girls Marathon Team does not receive the matching gift check prior to the race, the match cannot count toward your commitment.

In the event of an illness, injury or medical emergency arising during the event or in the training and planning sessions for said event, I authorize and give my consent to Title IX Girls Marathon Team to secure from an accredited hospital, clinic and/or any physician any treatment deemed necessary for my immediate care. I agree that I will be fully responsible for payment of any and all medical services and treatment rendered to me.

Emergency contact:

Emergency Contact Name:
Relationship
Emergency Contact Phone:
-
Allergies/Medications:
Any other situations we should be aware that may impact your ability to train, finish or fundraise for this event?
Name on Credit Card:
Credit Card Number
Expiration date
CIV
Billing address (if different from address on application):
By checking here, I agree that all information provided is accurate and agree to the terms of the partnership with Title IX Girls Running Club, in this application. In consideration of my accepting this entry, I hereby for myself, my heirs, executors and administrator, waive and release any and all rights for claims and damages I may have against Title IX Girls Marathon Team, it’s employees, volunteers, consultants and coaches for any and all injuries suffered or sustained by me in said event and in the training and planning sessions for said event or travel to and from any of the preceding. *