team jaf 26.2

2017 Boston Marathon Application Form

Applicant Information 

  • Are you in need of any special assistance or are you applying for participation in the disability or visually impaired division?

  • Does your company have a matching gifts program?

    Note: Matching gifts do not count towards your minimum fundraising.
  • Sizes

    We do not guarantee to provide all items, but you may be able to purchase the items separately.

  • Fundraising Experience

  • Have you participated in a road race charity program before?

  • If yes, what is the most recent charity for which you raised funds, and how much money did you raise?

  • Other charity fundraising programs in which you participated (name, year and amount required):

  • What will your fundraising goal be for Team JAF?

  • What are your ideas for raising these funds? Please be specific. (You may email additional information to TeamJAF@Joeandruzzifoundation.org).

  • If you are you on Facebook, what is your Facebook name?

  • If you are you on Twitter, what is your Twitter handle?

  • If you are you on Instagram, what is your username?

  • Are you affiliated with the Joe Andruzzi Foundation in any way (ie: corporate member, board member, volunteer, staff, relative or friend of someone working at the JAF, etc.)?

  • If yes, how?

  • How did you find out about running the Boston Marathon® for Team JAF?

  • Please describe why you would like to run for the Joe Andruzzi Foundation?

  • Runners are invited to Team JAF monthly meetings in Boston, weekly long runs on Saturday mornings outside of Boston and Tuesday night hill workouts in Newton. Do you foresee any conflicts in attending the meetings or runs? We want to ensure all our runners are properly trained.

    (Note: Attendance at monthly meetings is very important unless you are an out of state runner.)
  • Running Experience

  • What is the average number of miles per week that you have run during the past 2 months?

  • Have you ever participated in a road race before?

  • Have you ever participated in a marathon before?

  • If yes, please list at least one of the date(s) and the time it took you to complete each and the distance starting with the most recent.

  • Is this your first Boston Marathon®?

  • If no, how many Boston Marathons® have you run and what was the most recent date?

  • Do you currently belong to a running club?

  • If yes, which one?

  • Terms & Conditions

  • Registration: You will receive your race registration after your application is accepted by Team JAF.

    The Boston Athletic Association charges a $355 race application fee that is the sole responsibility of the team member. This fee does not count toward your fundraising commitment. The registration fee will be collected separately and specific instructions will be provided when registrations links become available. All Boston Marathon® registrations will go directly through Team JAF and CharityTeams.

    Release Form and Contribution Agreement: In consideration of my accepting this entry, I hereby for myself, my heirs, executors and administrator, waive and release any and all rights for claims and damages I may have against the Joe Andruzzi Foundation and its employees, volunteers, consultants including CharityTeams LLC, Susan Hurley and any coaches and consultants and product sponsors for any and all injuries suffered or sustained by me in said event and in the training and planning sessions for said event or travel to and from any of the preceding. I further attest and certify that I am physically fit and have sufficiently trained for competition in this event and a licensed medical doctor has verified my physical condition.

    I also grant permission for use of my name and/or photograph or voice in broadcast, telecast, print or any other account of this event and agree to waive any compensation for such use.

    I agree to collect a minimum of $7,500 minimum ($1,500 for own entry) for the Joe Andruzzi Foundation by Thursday, April 13, 2017. If I have not reached the amount in donations by that date, I will personally be responsible for the balance owed. I fully understand that unless I cancel by January 1, 2017, the Foundation reserves the right to charge the balance I owe to my credit card. I declare that I have exercised my own judgment in signing this agreement and I further declare that the decision to sign this agreement is my own.

    In the situation of a runner who defaults on this agreement and their credit card is not valid for any reason, the Foundation reserves the right to pursue collection of the debt and the runner will be responsible for any and all legal fees incurred by foundation with this collection process.

    Milestone for fundraising I agree to meet:

    December 19, 2016 $1,500 minimum met
    January 16, 2017 $3,000 minimum met
    February 13, 2017 $4,500 minimum met
    March 13, 2017 $6,000 minimum met
    April 13, 2017 $7,500 minimum met

    To ensure these milestones are met, the Joe Andruzzi Foundation reserves the right to charge the difference on your credit card by the date given if we feel there is a failure to fundraise throughout.

    *ALL RUNNERS MUST RAISE THE MINIMUM FUNDRAISING BY APRIL 13, 2017.* WE DISCOURAGE ANY BIB PICK UP UNTIL THE MINIMUM FUNDRAISING OBLIGATION IS MET.

    Cancellation Policy: Your $50 application fee is non-refundable. You may cancel your participation with the team, waiving your responsibility for the $7,500 minimum ($1,500 for own entry) anytime on or before January 1, 2017. To do so, you must contact Susan Hurley, Program Coordinator via email at CHARITYTEAMS@CHARITYTEAMS.comcastbiz.net on or before January 1, 2017. After January 1, 2017 you are still responsible for raising the minimum $7,500 minimum ($1,500 for own entry) even if, for any reason including injury, you are unable to run in the marathon. If you cancel participation after this date, your credit card will be charged the balance of your fundraising commitment. The Joe Andruzzi Foundation has your consent do this.

    Donations raised and received by our office will not be refunded, even if you cancel before January 1, 2017.

    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 donors if their employer has matching gifts. Matching gifts do not apply to the fundraising minimum but are considered over and above the minimum. It is your responsibility to contact the company to provide all matching gift information and ensure that the gift is processed.

    In the event of an illness, injury or medical emergency arising during the event or in the training and planning sessions for said event, I hereby authorize and give my consent to the Foundation to secure from an accredited hospital, clinic and/or physician any treatment deemed necessary for my immediate care. I agree that I will be fully responsible for payment of any and all medical services and treatment rendered to me including but not limited to medical transport, medication treatment and hospitalization.

  • Emergency Contact

    (person listed cannot be running)
  • Any other information we should be aware of that may impact you ability to train, finish or fundraise for this event such as past injuries:

  • Please electronically sign below relative to the terms and conditions set forth in the above-mentioned contract. No runner will be considered without providing the required documentation.

    IMPORTANT! Please note regarding the application fee! To complete the registration process, you are required to pay the $50 application fee online. After submitting your application, you will be directed to JAF’s Boston Marathon® Registration Fee page.

    Should you be accepted to the team, you are required to make a CrowdRise fundraising page on CrowdRise.com (instructions will be given in your Runner Packet). At this time, it is mandatory for you to input your credit card information. That credit card will remain on file for the duration of your fundraising and will be charged if your fundraising minimum is not met by April 13, 2017.

    I have received the Joe Andruzzi Foundation Team application and understand all the terms and conditions of my participation in the 2017 program. I am confirming the information listed in the enclosed application is accurate. I have also noted the due date for material submission and fundraising goals. I understand that the submission of this application does not guarantee me a spot on the team.