Run for Nyaka at the NYC Marathon 2019 Application Form
Complete this information below to be considered for a spot as one of Nyaka's runners in the 2019 NYC Marathon on November 3, 2019.

As a team member, you’ll receive:

Free entry to the 2019 NYC Marathon.
Free commemorative Nyaka race shirt.
Fundraising support and advice from the Nyaka team.

All team members must commit to raise funds for Nyaka. If you have any questions, please contact Daniele at or (517) 575-6623.

First Name
Your answer
Last Name
Your answer
Email Address
Your answer
Phone Number
Your answer
Full Address (Street, City, State, Zip Code, Country)
Your answer
Have you ever run a marathon before? *
Do you have any medical conditions or health factors that could place you at risk during the 2019 New York City Marathon? (If so, please explain under "Other")
What is your connection to Nyaka?
Your answer
Why do you want to join the Run for Nyaka team at the NYC Marathon? *
Your answer
All Run for Nyaka team members must raise at least $5,000 for Nyaka. Provided you were given adequate support and time, what fundraising goal would you set for yourself? *
Nyaka will invite you to fundraise on a Crowdrise campaign page and provide you with language and information about Nyaka. What other things would you do to meet your fundraising goal? (If you have experience with fundraising, please share what has been successful for you in the past.)
Your answer
Is there anything else you want us to know in support of your application?
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service