2023 TCS New York City Marathon (Guaranteed)

TCS NYC Marathon Form (Guaranteed)

Your Information
Name:*
First Last
Date of Birth:*
MM slash DD slash YYYY
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? (26.2 miles)?*
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 Condition (terms are below)
TEAM LIFE WITHOUT LUPUS TERMS AND CONDITIONS

Please carefully read the appropriate section below for runners who wish to receive a guaranteed entry into the 2023 TCS New York City Marathon through the Lupus Research Alliance Team Life Without Lupus.

RUNNERS WHO WISH TO RECEIVE A GUARANTEED ENTRY FROM THE LUPUS RESEARCH ALLIANCE

FUNDRAISING COMMITMENT: A $3,000 minimum donation is required to join Team Life Without Lupus and receive an invitational entry for the 2023 TCS New York City Marathon. If you are accepted onto the team, you will receive the benefits of team membership which include: a team singlet, complimentary invitation(s) to the team Friends and Family pre-race pasta party, team fundraising support, Haku fundraising platform access, and race logistics guidance throughout the training program. Once you are on our team you will receive your Haku fundraising invite where you will submit a credit card to reserve your spot. On Tuesday, September 12, 2023, you must submit at least $550 of donations. If you do not have $550 raised by September 12, 2023, the card on file will be charged to make your fundraising total (at that point) $550. Once you hit the $550 via Haku your card will be reimbursed (the amount we charged to reach $550). The remaining balance must be submitted by November 1, 2023. On November 1, 2023, the credit card on file will be billed for any balance due to reach the fundraising minimum of $3,000.

CANCELLATION POLICY: You may cancel your participation with Team Life Without Lupus for the 2023 TCS New York City Marathon, waiving your responsibility for the $3,000 minimum, any time on or before Tuesday, September 5th seven days before the NYRR registration deadline on September 12, 2023. You must contact the Lupus Research Alliance, in writing, attention Lana Munoz-Abrams, on or before the cancellation date, informing the Organization of your cancellation. After Tuesday, September 5, 2023, you are responsible for raising the $3,000 minimum, even if for any reason, including injury, you cannot run in the marathon and will be able to defer for the following year’s race. Donations raised and received by our office will not be refunded, even if you cancel before the above-stated deadline for cancellation. Only if you are able to find another runner to fill your spot and register with NYRR by or before September 5, 2023, will you be dismissed from the $3,000 fundraising responsibility.

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 quarterly or semi-annually, therefore, it is your responsibility to contact the matching company to ensure the check will be issued before November 1, 2023. The donation may not count toward your minimum if the company’s match cycle is past November 1, 2023.

2023 TCS NEW YORK CITY MARATHON REGISTRATION: The Lupus Research Alliance will inform you of the details of how to receive your official race number after your Team Life Without Lupus team application is accepted. The TCS New York City Marathon charges an Entry Fee of $255 for NYRR members, $295 for non-members, & $358 for Non-U.S. residents. 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?*
Submitted on:*
MM slash DD slash YYYY

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