Team Change for Kids Runner Application: 2019 TCS New York City Marathon
Change for Kids will contact you shortly after submission to confirm your place on the team. Many thanks for your interest in running with Team Change for Kids! If you have any questions, please contact Marissa Jones at mjones@changeforkids.org or by calling 212-213-8061.
Team Change for Kids Member Benefits
All Team Change for Kids members are asked to raise a minimum of $3,500 for Change for Kids. In return, Change for Kids will provide the following:

Guaranteed entry into the 2019 TCS New York City Marathon

TCS NYC Marathon registration fee paid for by Change for Kids

Personalized Team Change for Kids running jersey and gear

Customizable online fundraising page and fundraising support

E-newsletter from Change for Kids with training, fundraising, and nutrition tips

Invitation to a Team Change for Kids Happy Hour for you and a guest

Invitation to Change for Kids' Donor Appreciation Night in early 2020

Change for Kids is also happy to provide volunteer opportunities for you and your friends, family, or colleagues at any of our partner schools across the five boroughs.

Name *
Your answer
Address *
Your answer
City, State, Zip *
Your answer
Email *
Your answer
Phone *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Shirt Size *
How did you hear about Team Change for Kids? *
Your answer
In 2-3 sentences, tell us about yourself and why you would like to run the marathon with Team Change for Kids. (This information may be used on the CFK website and/or social media channels.) *
Your answer
Does your employer match charitable contributions? *
If you answered YES above, please add the name of your employer.
Your answer
Work Address
Your answer
City, State, Zip
Your answer
Work Phone
Your answer
Matching Gift Policy
It is your responsibility to contact the matching company to ensure the matching gift form will be issued before Friday, November 1, 2019.

If Change for Kids does not receive the matching gift form prior to Sunday, November 3, 2019, the match will not count toward your fundraising minimum.

Fundraising Expectations
As a member of Team Change for Kids, we ask that you raise a minimum of $3,500. Proceeds will support nearly 5,000 students in Change for Kids' partner schools across New York City.
Credit Card
Change for Kids and Crowdrise must have valid credit card information on file to confirm your spot on the team.

In the event that you do not meet your selected donation level by Monday, November 4, 2019, you authorize Crowdrise to charge the balance owed to your credit card.

Registration
Upon completing this application form, Change for Kids will contact you with a unique code with which you will register for the race. You should NOT contact New York Road Runners directly to secure your bib number.
Liability Waiver, Release Form, and Contribution Agreement
• I know that training for and participating in the TCS New York City Marathon is a potentially hazardous activity. I understand that I should not enter and run unless I am medically able to do so and properly trained. I am voluntarily entering, and I assume all risks associated with training for and running in this event, including injuries during training or racing; falls, spills, contact with vehicles or other participants, the effects of weather, traffic and course conditions, and all other conditions, foreseen or unforeseen, all such risks being understood and accepted by me.

• Having read and understood this waiver, and in consideration of the acceptance by Change for Kids of me as a member of Team Change for Kids, I, for myself and my legal representatives, successors, heirs, assigns, executors and administrators, do hereby waive and release Change for Kids and its officers, directors, agents, employees and other representatives from all present and future claims and liabilities of any kind, known or unknown, foreseen or unforeseen, arising out of or in any way connected with my training for or participation in this event.

• I hereby grant permission to Change for Kids to use my name and/or photograph, voice or other likeness in broadcast, telecast, print or any other account of this event for any legitimate purpose.

• I agree to abide by the rules of the TCS New York City Marathon as stated in all official race information.

• I agree to collect a minimum fundraising amount for Change for Kids by Monday, November 4, 2019. If I have not reached the minimum in sponsorship by that date, I will be personally responsible for the balance owed.

• I agree that if the race cannot be held for any unforeseen circumstance, any funds raised by me will not be refunded.

By checking the box below, I accept and agree to all terms and conditions set forth in the Liability Waiver, Release Form, and Contribution Agreement in the Team Change for Kids Runner Application for the 2019 TCS New York City Marathon. *
Required
Thank you for your application to Team Change for Kids!
Submit
Never submit passwords through Google Forms.
This form was created inside of Change for Kids, Inc. Report Abuse - Terms of Service