Name
DOB
Sex
Address
Phone:
-
E-mail
How did you hear about Title IX Girls Running Club?
Why do you want to join our team?
What is the biggest life lesson you’ve learned from running?
Would you be interested in a Falmouth press opportunity?

As a member of the 2018 Title IX Girls Falmouth Road Race Team, you are committed to raise a minimum of $750.00 for the organization. Fundraising can be done online with FirstGiving.com, and/or offline with checks, cash and corporate matches.

• 50% of the fundraising commitment raised by July 13, 2018.

• 100% due by August, 15, 2018.

In the event you aren’t able to meet the 50% commitment by July 13th, your credit card will be billed the difference. Any balance due in order to reach your fundraising commitment will be billed to your credit card on August 15, 2018.

Name on Credit Card:
Credit Card Number
Expiration date
CIV
Billing address (if different from address on application):
By signing here I understand that I am solely responsible for raising or personally giving the entire fundraising minimum, even if for any reason, including injury, I am unable to run in the New Balance Falmouth Road Race 2018. I understand that any donations received by Title IX Girls Running Club will not be refunded. 3 Any legal expenses incurred in the collection of funds will be the sole responsibility of the runner. I agree that I will not begin the race prior to the official start time; I will not compete in a manner that, in the judgment of the race officials, interferes with race operations or other participants; Charity bibs must be used by the person who utilizes the number and may not be transferred, sold or auctioned to another person.*