2017 TCS New York City Marathon

Sunday, November 5, 2017 | New York, NY

REGISTRATION FORM

Welcome to the Run As One TCS New York City Marathon Charity Program. By becoming a member of Team Run As One, you commit to donate or raise funds of at least $3,000 for the Labrecque and LUNGevity Foundations; a designated Charity Partner of the TCS New York City Marathon 2017. Your credit card information is required as a guarantee against this pledge.

We require that half of your fundraising commitment is due by September 8, 2017. Fulfillment of your $3,000 commitment is due by October 13, 2017. If you have not submitted at least one-half of the minimum pledge of $1,500 by the close of business on September 8, your credit card will be charged for the amount of $1,500, less any payments received from your donors by that date. If your donations do not total the full minimum pledge of $3,000, your credit card will be charged on October 13 for the amount necessary to fulfill that pledge. (Any amount charged to your credit card will be considered a charitable donation and we will send you confirmation of this donation for tax purposes). This deadline is in place to ensure that every runner fulfills his or her fundraising commitment. If funds are not received by the deadline for any reason, you will forfeit the ability to participate in the 2017 TCS NYC Marathon.

If you are unable to participate in the marathon due to illness, injury or conflict, you are obligated to raise at least half of the required $3,000 as set forth in this agreement. Please note that donations will not be refundable if the Fundraiser does not participate in the marathon but will count towards next years fundraising goal (for the 2017 TCS NYC Marathon).

First Name: *

Last Name: *

Date of Birth: * mo/day/year



(00/00/00)

Gender: *



Male

Female

Address: *

Address Line 2:

City: *

State: *

Postal Code: *

Daytime Phone: * (Work)

E-mail Address: *

Chip Number:

Enter if you are using your OWN ChampionChip (numerals only-no dashes!). Non-chip owners will receive a chip with their running number.

NYRRC#:

Optional if you want the race to be included in your race history.

Jacket size [XS, S, M, L, XL] [Men / Women] (circle all that apply)
Shirt size [XS, S, M, L, XL] [Men / Women] (circle all that apply)
*please note, once we have ordered your size, you will be unable to exchange for another size


Payment Method


Fundraising Minimum $3,000


Mastercard     

Visa    

Credit Card Number: *

Enter numerals only - no dashes or spaces. (No debit cards!)

Expiration Date: *(Month/Year)


/

Thank you for your participation!
Please print the form and fax or Email to TGL Foundation
Fax

703-997-8907
Email: mturner(@)tglfoundation.com