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2025 ASICS Falmouth Road Race

"*" indicates required fields

What type of entry are you applying for?*

Charity Entry ($1,500 required fundraising minimum)

Registered/Qualified/Invitation ($500 required fundraising minimum)

Virtual Entry/Walker ($500 required fundraising minimum)

Event Preference*

In-person Athlete

Virtual/Walker Athlete

Salutation

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?*

Asics Falmouth Road Race 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: I choose to run for JAF because…

If selected, would you be willing to share this statement via social or traditional media outlets?*

Yes

No

Team Apparel

Please 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*

Social Handles

Facebook Name

Instagram Username

Fundraising

If selected for Team JAF, what is your fundraising commitment? (If selected this becomes your fundraising minimum)

$500 (required minimum for registered/qualified)

$1000

$1500 (required for charity athletes)

$2000

$3000

$4000

Have 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?*

Running

Have you ever participated in Falmouth?*

Yes

No

If yes, how many years and what was the most recent? (include date)*

There is a 1 hr 45 min time limit for the 7 mile race. Are you able to finish within these time limits?*

Yes

No

I don’t know

Do you have any pre-existing injuries or medical conditions that may prohibit you from completing this race?*

Yes

No

If yes, please explain

Emergency Contact

(Person listed cannot be running the Falmouth Road Race)

Name*

Relationship*

Home Phone*

Cell Phone*

Allergies/ Medications

Terms & 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 Falmouth Road Race during this process.

Signed*

Date*

MM slash DD slash YYYY