2024 Eversource Hartford Marathon and Half Marathon Running Events – Charity Entry "*" indicates required fields What type of entry are you applying for?* Charity Bib Marathon ($750 Required Fundraising Minimum) Charity Bib Individual Marathon Relay Participants ($400 Required Fundraising Minimum for each Participant) Charity Bib Half Marathon ($500 Required Fundraising Minimum) Charity Bib 5K ($250 Required Fundraising Minimum) Registered Bib Marathon($350 Required Fundraising Minimum) Registered Bib Individual Marathon Relay Participants ($200 Required Fundraising Minimum) Registered Bib Half Marathon ($250 Required Fundraising Minimum) Registered Bib 5K ($200 Required Fundraising Minimum) Event Preference* In-person Athlete Virtual Athlete (note: Marathon relay is not available for this option) First Name*Last Name*Gender* Female Male Other I would prefer not to answer Address*City*State*Zip Code*Date of Birth*Cell Phone*Email Address* Employer*Title*Does your company have a matching gifts program?* Yes No Are you affiliated with the Joe Andruzzi Foundation in any way (ie: Team JAF athlete, corporate member, board member, volunteer, staff, relative or friend of someone working at JAF, etc.)?* Yes No If yes, how?How did you find out about running this event for Team JAF?* Hartford Marathon Foundation Website Team JAF Alumni JAF E-Blast JAF Social Media JAF Website Online Search Word of Mouth Other If other, please explain:Please describe why you would like to run for the Joe Andruzzi Foundation?*If selected, would you be willing to share this story via social or traditional media outlets?* Yes No Finish This Statement: When I hear JAF I think….If selected, would you be willing to share this story via social or traditional media outlets?* Yes No Team ApparelPlease note, runners are required to wear the Team JAF race tank on race day. Please indicate men’s or women’s and preferred size below (S-3XL).Official Team JAF Race Tank (typically run small)*Sharing your StoryIf selected, would you be willing to potentially share your story via social or traditional media outlets?* Yes No Facebook NameInstagram UsernameTikTok UsernameFundraisingHave you participated in an athletic charity program before?* Yes No If yes, what is the most recent event and how much money did you raise?What are your ideas for raising these funds?*RunningHave you ever completed a marathon or 1/2 marathon before?* Yes No If yes, how many and what was the most recent event? (include date)*If selected, would this be your first Eversource Hartford running event?* Yes No There is a 6-hour time limit for the Marathon and 3-hour course limit for the Half Marathon. (Please refer to the course limits information on the Hartford Marathon Foundation website for additional information.) Are you able to finish within these time limits?* Yes No Do you currently belong to a running club?* Yes No If yes, which one?Do you have any pre-existing injuries or medical conditions that may prohibit you from completing this race?* Yes No If yes, please explainEmergency Contact(Person listed cannot be running the 2023 Eversource Hartford Marathon, Half Marathon, Team 26.2 Relay or Charity 5k)Name*Relationship*Home Phone*Cell Phone*Allergies/ MedicationsTerms & Conditions I have read through the terms and conditions and acknowledge if accepted to the team, I will be required to sign a document confirming I agree to these terms and conditions. I agree to read through all terms and conditions from the Eversource Hartford Marathon and Half Marathon during this process. Signed*Date* MM slash DD slash YYYY
