2023 Boston Marathon Application

If Yes, my anticipated moving date is:

Please select your preferred pronoun:(Required)

Email(Required)

Phone(Required)

Date of Birth(Required)

Emergency Contact Relationship(Required)

Emergency Contact Phone(Required)

Employer(Required)

Job Title

Qualifying Time (if applicable):

Source of bib entry (if applicable):

What is the name of the individual you're running on behalf of?(Required)

If you are connected with a community health system, brain tumor clinic, or hospital(s), please share the entity.

Why are you passionate about running and raising funds for the National Brain Tumor Society through the 2023 Boston Marathon?(Required)

If applicable, how have you interacted with or supported the National Brain Tumor Society in the past?

Fundraising(Required)

My personal fundraising goal for the National Brain Tumor Society’s Gray Nation Endurance team is: (While the fundraising commitment is $10,000 for runners, why not aim higher? NBTS doesn’t hold you accountable for any goal amount over the above listed fundraising commitments)

Please describe your fundraising plan as to how you will hit the $10,000 fundraising commitment. This could include reaching out to your network, hosting a fundraising event, matching gifts, donating your birthday to your race fundraising, etc.(Required)

Please indicate any past fundraising experience below (athletic and non-athletic).(Required)

Goal Boston Marathon race time:(Required)

Current weekly running mileage:(Required)

Typical training pace (minutes per mile):(Required)

Names and years of previous marathons completed: (if no marathons have been completed, please list half marathons completed):(Required)

For the social media you actively use, please indicate the below for your personal accounts:

Facebook name:

Instagram username:

Twitter handle:

LinkedIn name:

Other (please specify):

If Yes, the web address is:

Hometown newspaper (please specify town and state):

Current newspaper (please specify town and state):

Email

Is there any additional information you'd like the National Brain Tumor Society to know? (i.e. your best run, anything unique, obstacles overcome, etc.)

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2023 Boston Marathon Application

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