Team Quell-Falmouth Road Race Application
The Quell Foundation strives to reduce the number of suicides, drug overdoses and incarceration of people living with a mental health illness. We work to normalize the conversation around mental health.

On Sunday August 18, 2019 at 9:00am
The Falmouth Road Race will celebrate its 47th year running, welcoming over 11,000 runners/joggers from across the country to Wood's Hole. If you wish to join Team Quell as we Run for Peace of Mind, please complete the following form.

Email address *
Bib Status *
Name (First, Last) *
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Age
Your answer
Shirt Size
How did you hear about The Quell Foundation *
Your answer
Why do you want to run for The Quell Foundation *
Your answer
What will your fundraising goal be? (Min $750) *
Your answer
Share some of your fundraising ideas with us! *
Your answer
What inspires you? *
Your answer
Team Quell Terms & Conditions-Falmouth Road Race
Please read the following carefully before submitting application.

Fundraising Commitment: The Quell Foundation has secured and purchased bibs for Team Quell runners. The required minimum fundraising goal to participate with Team Quell and receive individual entry for the 2018 Falmouth Road Race is $750.

You will have until 11:59 p.m. EST on Saturday, August 17, 2019 to meet the fundraising minimum of $750. In the event that you do not meet the minimum donation requirement by this time, The Quell Foundation reserves the right to charge the balance owed to your credit card.

CANCELLATION POLICY: You may cancel your participation with Team Quell for the Falmouth Road Race, waiving your responsibility for the $750 minimum any time on or before Sunday, July 1, 2019. To do so, you must contact Renee Wilk in writing on or before the cancellation date. Any donations raised and received by our office will not be refunded. After July 1, 2019, you are responsible for raising the $750 minimum, even if for any reason, including injury, you are unable to physically participate in the race.

By submitting this application, you are agreeing to these terms.

A copy of your responses will be emailed to the address you provided.
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