Boston Marathon Charity Runner Application | National Brain Tumor Society

Applicant Name*

First Last

Mailing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Do you anticipate your mailing address will change in the next several months?*

Yes
No
Maybe

If Yes, my anticipated moving date is:

Please select your preferred pronoun:*

She/her/hers
He/him/his
They/their/theirs
Prefer not to share

Email*

Phone*

Date of Birth*

Emergency Contact Name*

First Last

Emergency Contact Relationship*

Emergency Contact Phone*

Employer

Job Title

I heard about the National Brain Tumor Society’s Gray Nation Endurance team from:*

Application Type*

I would like to secure an entry (bib) from the National Brain Tumor Society and commit to raising at least the minimum fundraising requirements.
I am B.A.A. qualified runner and have secured an official entry through the B.A.A directly, and I would like to join the National Brain Tumor Society’s Gray Nation Endurance team and commit to raising funds.
I have secured an official entry from another source, and would like to run in support of the National Brain Tumor Society and commit to fundraising with my own bib.

Qualifying Time(If applicable):

Source of bib entry(If applicable):

My "Why"*

Are you Running in:

Honor
Memory

What is the name of the individual you’re running on behalf of*

In connection with the individual you’re running on behalf of, please share their brain tumor type. If you’d prefer not to say or if it’s not known, please leave blank.

Why are you passionate about running and raising funds for the National Brain Tumor Society through the 2022 Boston Marathon.*

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

Fundraising*

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

My company plans to support my fundraising efforts:*

Through my company’s matching gift program (Companies often match an employee’s donation or fundraising efforts. If you aren’t sure if your employer has a matching gift program, reach out to your HR department to confirm. It’s a great way to double your impact!)
By making a donation to my fundraising
Unsure
Not applicable

Please provide a detailed fundraising plan as to how you will meet and exceed the $10,000 fundraising commitment. This could include reaching out to your network for family/friend donations, hosting a fundraising event, matching gifts, donating your birthday to your race fundraising, etc. Please include dollar amounts associated with each fundraising action, and we encourage you to include as much detail as possible.*

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

RUNNING EXPERIENCE:*

We accept runners of all ability levels. The below is for NBTS to better understand how to support your training needs.
My current running level:

Beginner
Intermediate
Advanced

Goal Boston Marathon race time:*

Current weekly running mileage:*

Typical training pace (minutes per mile):*

Number of previous marathons completed:*

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

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):

I have a blog:

No
Yes

If Yes, the web address is:

Hometown newspaper (please specify town and state):

Race-Shirt Size:*

Do you know someone who would like to run with the National Brain Tumor Society’s Gray Nation Endurance program with their own race? If so, please enter their name and email below:

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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