application

2019 TCS New York City Marathon

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

 
 
Name *
Name
Address *
Address
Phone *
Phone
Work address
Work address
Sex *
Date of birth *
Date of birth
Have you participated in a marathon before?
Are you on Facebook?
http://
Are you on Twitter?
Do you have a blog?
http://
Have you ever fundraised for an organization before?
Date of event
Date of event
$
$
Do you have any other experiences fundraising for non-profit organizations?
Does your company have a matching gifts program?
Company match
Many companies match employees’ charitable contributions. You can check with your employer to see if your company has this program and you can also 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 due dates listed above. If the company’s match cycle is past the fundraising due dates, or for some reason, Title IX Girls Marathon Team does not receive the matching gift funds prior to the due dates, the match cannot count towards your commitment, but the match will still be accepted by Title IX Girls and contributed to its general fundraising goals.
In Case of Emergency
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
Emergency contact phone
Emergency contact phone
Expiration Date *
Expiration Date
Billing address (if different from address on application)
Billing address (if different from address on application)
Agreement
By checking below, 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.
*
Today's date *
Today's date

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.