2020 Falmouth Road Race Application | Joe Andruzzi Foundation

Entry Information
Entry Information*
Applicant Information
First Name*
Last Name*
Address*
City*
State*
Zip Code*
Date of Birth (ex. 01/01/2000)*
Email Address*
Home Phone
Cell Phone*
Employer*
Title*
Does your company have a matching gifts program? (please see Matching Gift Policy in our Terms and Conditions below)*
Sizes: Official Team Singlet (typically run small)*
If you are on Facebook, what is your Facebook name?
If you are on Twitter, what is your Twitter handle?
If you are on Instagram, what is your username?
Please Tell Us About Yourself
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 JAF etc.)*
If yes, how?
How did you learn about running the Falmouth Road Race for Team JAF?*
Please describe why you would like to run for the Joe Andruzzi Foundation?*
Running Experience
Is this your first Falmouth Road Race?*
If no, how many Falmouth Road Races have you run and what was the most recent date?
TERMS & CONDITIONS:

Registration:If your Falmouth Road Race application has been accepted by Team JAF, you will receive an online link to register through the NBFRR website.

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 JAF and its employees, volunteers, 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 $800 ($500 for own entry) for JAF by Wednesday, August 12, 2020. If I have not reached the amount in donations by that date, I will personally be responsible for the balance owed. 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, JAF reserves the right to pursue collection of the debt and the runner will be responsible for any and all legal fees incurred by JAF with this collection process.

Donations raised and received by our office will not be refunded.

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 may be applied to the fundraising minimum if received by Wednesday, August 12, 2020. It is your responsibility to contact the company to provide all matching gift information and ensure that the gift is processed. (Policy should be with the section on gift matching)
IMPORTANT! 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.

I have received the Joe Andruzzi Foundation Falmouth Road Race application. I understand and agree to all the terms and conditions of my participation in the 2020 program. I understand that the submission of this application does not guarantee me a spot on Team JAF. I acknowledge that the fundraising minimum stated above is due to JAF by August 12, 2020.
Electronic Signature*
Please type your full legal name.
Date (ex. 05/08/2019)
Date Format: MM slash DD slash YYYY
Acknowledgment checkbox*
- I understand that checking this box constitutes a legal signature confirming that I acknowledge and warrant the truthfulness of the information provided in this application.
Name
This field is for validation purposes and should be left unchanged.

Entry Information

Applicant Information

Please Tell Us About Yourself

Running Experience