2012 Boston Marathon: Team MetroLacrosse Application

Support MetroLacrosse by joining Team MetroLacrosse for the 2012 Boston Marathon!

Personal Information

First Name *

Last Name *

Date of Birth * mm/dd/yyyy

Gender * FemaleMale

Phone Number * 617-555-1212

Employer *

Address *

City *

State *

Zip Code *

Email Address * email@domain.com

My Motivation

What is your experience or affiliation with MetroLacrosse (coach, volunteer, board member, supporter, etc.)? *

Why would you like to run on the 2012 Boston Marathon MetroLacrosse Team? *

Fundraising

What is your personal fundraising goal for Team MetroLacrosse 2012? *$

While the required fundraising minimum is set at $5,000 per runner, we encourage team members to set a higher personal goal to help achieve a 2012 Team MetroLacrosse goal of $40,000.

Please check the appropriate response regarding your employer’s potential participation in supporting Team MetroLacrosse: * Yes, my company participates in a matching gift program for employee donationsYes, my company plans to support Team MetroLacrosse through a corporate sponsorshipNo, my company does not plan to support my participation with Team MetroLacrosse

How do you plan to raise funds for Team MetroLacrosse? *

Please describe in detail who some of your donors would likely be and the amounts you anticipate raising from each person, group or company. *

Running Experience

Please describe your current experience with running. *

How many miles do you run per week now? * miles

Please list any previous marathon running experience you have. *

Have you qualified for the 2012 Boston Marathon? * YesNo

Additional Information:

Please note any relevant hobbies/sports/interests/community/volunteer activities: *

Is there any additional information you feel we should know about you regarding obstacles you may face or reasons why you are particularly qualified to raise funds and run the marathon? *

Fundraising Commitment

Please read and check that you understand the commitments that are associated with running the 2012 Boston Marathon as a part of Team MetroLacrosse.

I understand that all funds raised will support MetroLacrosse.
If selected to run the Boston Marathon, I will have to pay a $300 application fee to the Boston Athletic Association to receive my bid number.
I will have to raise a minimum of $5,000 for MetroLacrosse. If I do not raise $5,000 or more, I will be charge the difference on a credit card that I provide.
I understand that I am responsible for raising or personally giving the entire fundraising minimum, even if for any reason, including injury, I am unable to run in the 2012 Boston Marathon.

* I have read and agree to the terms above if selected to run the 2012 Boston Marathon for Team MetroLacrosse.

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