2026 United Airlines New York City Half Marathon (Fundraising Only)

This form is for runners who have independently secured entry for the marathon (lottery, NYRR qualification).

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Name

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Your Information

Name:*

First Last

Date of Birth:*

Home Address:*

Street Address Address Line 2 City State ZIP Code

Phone:*

Email:*

Employer Information

Employer:*

Title:*

Work Address:*

City:*

Work Phone:*

Does your company have a matching gift program?*

Would your company be interested in serving as a sponsor of the Team?*

Marathon Charity Experience

Have you ever participated in a marathon charity program before?*

If so, for which charity:

How much money did you raise?*

What will be your fundraising goal for Team Life Without Lupus?*

What are your ideas for raising these funds?*

Running Experience

Are you an active runner?*

How often do you run?*

Have you ever run in a marathon before?*

Which marathons / date(s):*

What is your weekly mileage at this time?*

Are you confident that with training, you can complete a half marathon? (13.5 miles) in less than 3 hours (average of a 13.5 minute mile)?*

Health History

Do you have any medical conditions or injuries of which the coaches should be aware?*

If you have lupus, have you discussed this with your doctor?*

Allergies or Medications*

Background

How did you learn about the Lupus Research Alliance's Team Life Without Lupus?*

What is your connection to lupus (Please check all that apply).*

I have lupus

I have a friend or co-worker with lupus

Child or a person with lupus

Parent of a person with lupus

Sibling of a person with lupus

Other relative

I have no connection with lupus

Please provide us with any additional information you may want us to consider while reviewing your application.*

Emergency Contact

Emergency Contact Name:*

Telephone:*

Relationship*

Terms and Conditions

TEAM LIFE WITHOUT LUPUS TERMS AND CONDITIONS

Please carefully read the appropriate section below for runners who have independently received entry into the 2026 United Airlines New York City Half Marathon.

RUNNERS WHO HAVE INDEPENDENTLY RECEIVED ENTRY INTO THE 2026 UNITED AIRLINES NEW YORK CITY HALF MARATHON THROUGH LOTTERY OR NEW YORK ROAD RUNNERS QUALIFICATION

FUNDRAISING COMMITMENT: A $1,000 minimum donation is required to join Team Life Without Lupus.

This will entitle you to all the benefits of team membership, which include: a team singlet, team fundraising support, Haku fundraising page access, and race logistics guidance throughout the program. A credit card (MasterCard, Visa, or American Express) in your name and valid through January 2027 must be provided upon signing up through the Haku platform for acceptance on Team Life Without Lupus. On March 15, 2026, the credit card will be billed for any balance due to reach the fundraising minimum of $1,000, not including any application or administration fees.

MATCHING GIFT POLICY: Many companies match employees' charitable contributions. You can check with your employer to see if your company has this program and ask your donors if their employers match gifts. Many companies issue matching gift checks or ACH payments quarterly or semi-annually, therefore, it is your responsibility to contact the matching company or ask your donor to follow up with their HR department to ensure the check will be issued end of March 2026. If the company's match cycle is past March 2026 the donation may not count toward your minimum.

2026 UNITED AIRLINES NEW YORK CITY HALF MARATHON REGISTRATION: The Lupus Research Alliance is NOT responsible for obtaining your official race entry number; you will be responsible for following the standard procedures provided for retrieving your race number. The United Airlines New York City Half Marathon charges an Entry Fee of $135 for NYRR members and $160 for non-members. These fees do not count toward your fundraising commitment and are your responsibility to pay independently of Team Life Without Lupus.

Do you agree to the Terms and Conditions?*

Do you give consent for Lupus Research Alliance to process your personal information, including your health history?*

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