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:

Email*

Phone*

Date of Birth*

Emergency Contact Name*

First Last

Emergency Contact Relationship

Emergency Contact Phone*

Employer

Job Title

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 as part of the Gray Nation Endurance team.
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. Please specify below.
I have secured an official entry from another source, and would like to join the National Brain Tumor Society’s Gray Nation Endurance team and commit to fundraising. Please specify below.

Qualifying Time(If applicable):

Source of entry(If applicable):

My "Why"*

Are you Running in:

Honor
Memory

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

Why are you passionate about running and raising funds for the National Brain Tumor Society through the 2020 Boston Marathon.*

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

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

Fundraising*

Please indicate your personal fundraising goal for the 2020 Boston Marathon Gray Nation Endurance team below. (Please note, the fundraising commitment is $10,000):

My company plans to support the National Brain Tumor Society:*

Yes, my company participates in a matching gift program.
Yes, my company plans to support the National Brain Tumor Society’s Gray Nation Endurance team through a corporate sponsorship or donation.
I plan to reach out to my company to determine if it will support my fundraising efforts
No, my company does not plan to support my participation with the National Brain Tumor Society.

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

Current weekly running mileage:*

Number of previous marathons completed:*

Typical training pace (minutes per mile):*

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

Best race time / race name / race date:

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:*

Jacket Size:*

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.)

Photo Submission (can be a headshot or running related photo) to be used for team promotion purposes and on social media, news releases or blogs.):*

Thank you for your interest and submitting your application to the 2020 Boston Marathon with the National Brain Tumor Society!