Party With Purpose 2019 TCS New York City Marathon Application
Party With Purpose, a Hoboken based non-profit charity is proud to have been awarded five entries to the 2019 TCS Marathon. These guaranteed entries are contingent upon our ability to fund raise a minimum of $2,620 per runner.

Party With Purpose is a 100% volunteer-based, 501(c)(3) not-for-profit organization founded on the concept of producing great events to raise money for charities and bring communities together in the process. We combine the best local social events with charitable causes to make a positive difference both here in our local communities and abroad.

Any specific questions can be directed to Team Captain Ryan Mitchell at rmitchell@partywithpurpose.org

Thank you for joining our team. Your efforts will benefit children in our local community.

For more information, visit our website at www.partywithpurpose.org/events/marathon-event/

General Runner Information
First Name *
Your answer
Last Name *
Your answer
Gender *
Projected Finishing Time *
Your answer
Date of Birth *
Your answer
Entry Number (if applicable)
Your answer
New York Road Runners Membership Number, if applicable
Your answer
Each Runner will be provided with a PWP Marathon Shirt. Please select your size. * *
We are working on providng each Runner with a PWP Marathon Jacket. Please select your size. *
These are not guaranteed, as it is depending on our sponsors.
Email address *
Your answer
Cell Phone Number *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Emergency Contact Person *
Your answer
Emergency Contact number *
Your answer
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By completing this registration form and agreeing to the Waiver & Terms and Conditions on the following pages, I am reserving a Guaranteed Entry for the 2019 TCS NYC Marathon from Team Party With Purpose. In consideration of this reservation, Party With Purpose is authorized to set the fundraising minimum that is chosen in Crowdrise and set the fund raising goals. Furthermore, I understand that if I do not promptly register with NYRR (www.nyrr.org) within 7 days of receiving my Guaranteed Entry, Party With Purpose may transfer my reservation number to another runner who is able to act promptly. I understand that by completing the documentation herein, I am obligated to fund raise or pay a minimum of $2,620 to PWP in support of its children's focused causes. The obligation must be completed by October 15, 2019 unless I receive written agreement to the contrary. Read and Agreed.
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By agreeing to the terms and conditions listed above, I agree to sign a credit authorization form, which will be electronically mailed to me. My credit card information is required as a guarantee against this commitment. If any payments from my donors (including matching corporate gifts) do not total the full minimum commitment of $2,620, my credit card will be charged on October 15, 2019 for the amount necessary to fulfill that commitment. Donations received after October 16, 2019 will not be counted toward my minimum fundraising commitment. I agree to set up my fundraising page immediately and begin my fundraising. If I have not begun fundraising by September 1, 2019, Party With Purpose is authorized to charge my credit card $1,550.
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In consideration of my acceptance onto Team PWP, I agree that I will not hold Party With Purpose, its employees, volunteers, officers, board members, charities, vendors or sponsors (the “Organization”) responsible for any injuries or losses I might incur while participating in the marathon or travel to or from the marathon or any training sessions or meetings related to my participation in the marathon (the “Event Activities”). I hereby release and discharge the Organization from any and all claims, demands, damages, and actions, and I voluntarily agree to assume full risk of any and all injuries, damages or losses I may sustain as a result of participation in the Event Activities. I warrant that I have sufficiently trained for the marathon, and that a licensed physician has verified that I am fit to participate in the marathon. I grant the Organization permission for the use of my name, likeness, or voice and waive any compensation for said use.
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In the event of an illness, injury or medical emergency, I authorize the Organization to secure from any accredited hospital, clinic and/or physician any treatment deemed necessary for my immediate care. I agree that I will be fully responsible for payment of any and all medical services, ambulance transport service, and treatment rendered to me including medications and hospitalization. I represent that I have secured adequate insurance against any injury or loss that I might sustain during, or as a result of participating in the Event Activities. I understand that my guaranteed entry and participation in the 2019 TCS NYC Marathon is contingent upon this commitment schedule and I accept that if due dates are not met I will be personally responsible for the fundraising minimum. The amount ultimately charged to my credit card will be considered a charitable donation and Party With Purpose will send me confirmation of this donation for tax purposes. Cancellation Policy: I may cancel my participation with Party With Purpose for the 2019 TCS New York City Marathon, waiving my responsibility of any remaining balance due any time prior to being issued a New York Road Runners validation number. To do so I must contact Ryan Mitchell, PWP Marathon Chair, in writing, on or before receipt of the validation. All money received to date is non-refundable. After receipt of the NYRR validation, I am responsible for raising the $2,620 minimum, even if for any reason, including injury, I am unable to run the marathon. All donations raised and received by our office will not be refunded. Matching Gift Policy: Many companies match employees’ charitable contributions. Please check with your employer to see if your company has this program, and ask your donors if their employers match gifts. Many companies issue matching gift checks quarterly or semi-annually. If you plan to use matching gifts to reach your minimum, it is your responsibility to submit the matching gift form to Party With Purpose by October 15, 2019
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Please share with PWP what motivated you to commit to running this amazing race on the Party With Purpose Team
Your answer
I agree that it is my responsibility to fund raise or remit the balance of the fundraising minimum to Party With Pupose *
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I understand that Party With Purpose has the following process for reviewing and accepting applications: *
1. Each runner is to complete this application. 2. Each runner is responsible for setting up their Crowdrise fundraising page, www.crowdrise.com, 3. Each runner's NYRR invitation will be sent to them electronically. 4. The Party With Purpose Marathon Page can be found here: https://www.crowdrise.com/PartywithPurposeNYC2019
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Level of Participation *
We believe that you (the runner) has the potential to both finish this amazing race as well as hit your fundraising goals. Below is a list of the potentials you have to choose from. Please choose your option below and then set up your Crowdrise account.
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