Request edit access
Angel Request - Niles/Buchanan Thanksgiving Day Run 5K
November 28, 2019
Email *
Current Angel Application? *
I have filled out the Angel Application on the Michigan Chapter website at:
Last Name *
First Name *
Phone *
Email *
Pace *
This is a 5K run. Please provide your pace per mile for this distance. MyTeam Triumph makes an effort to team Angels with others of similar pace.
Angel Team Members
If you would like to team with specific Angels for this event, please share their names here (while we cannot guarantee teaming arrangements, we will do our best to honor your request):
Captain Team Member
If you would like to team with a specific Captain for this event, please share his or her name here (while we cannot guarantee teaming arrangements, we will do our best to honor your request):
Event Waiver *
I hereby, for myself, heirs and executors, waive, release, discharge and agree to hold harmless, the Niles-Buchanan YMCA, Chemical Bank, and the other sponsors/contributors of the Thanksgiving Day Run, individually and collectively, together with their successors, assigns, officers, agents, and employees, free and harmless from any and all liability for injuries to property or person suffered by me, and or my heirs, and or executors, in connection with my participation in this event. I verify that I am physically fit and have sufficiently trained for the competitive and physical rigors of the Thanksgiving Day Run.
Event Registration Fee *
As a charity organization, myTEAM TRIUMPH relies on donations from Angels, family, friends, employers, etc. Your donation here, directed to myTEAM TRIUMPH, will cover the typical registration fee you pay on an event's signup website, whether it be for this event, or another if this event is comped. Any additional donation amount here will support our mission of enabling individuals with disabilities to participate in endurance athletics. MyTEAM TRIUMPH will cover total event registration requirements for our participant list via one lump sum payment. The minimum event registration fee will typically preclude any packet materials provided by event sponsors, including event shirt.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of myTEAM TRIUMPH. Report Abuse