Vanessa T. Marcotte Foundation - Falmouth Road Race 2021
The Vanessa T. Marcotte Foundation (VTMF) team is thrilled to be a part of the 2021 ASICS Falmouth Road Race! All members of our team have the option to choose if they want to run virtually or in person. The in-person event is in Falmouth on August 15th. Virtual runners or walkers must complete their race anytime from August 7th-14th. The fundraising minimum requirement for our team is $750, or $300 if you already have your own entry. Runners AND walkers are invited to join! If you are interested in running or walking seven miles on behalf of VTMF, please complete this application by July 5, 2021.

Vanessa Marcotte was killed by an act of violence in 2016 while out for a walk. By joining "Vanessa's Team" you'll be honoring her memory and helping the Foundation realize its mission of reducing objectification and harassment. The Foundation is achieving its goals through advocacy and education on empowerment, gender equality and safety awareness, and through practical self-defense training provided to thousands of people.

Team members will receive a VTMF team shirt, opportunity to win fundraising incentives, personalized fundraising page, along with fundraising and marketing support and guidance, and weekly correspondence from the foundation.

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First & Last Name *
Full Address *
Phone Number *
Email *
Date of Birth
Employer or employment status *
Occupation *
Please make a choice that best fits your experience: *
The Vanessa T. Marcotte Foundation has bibs for the 2021 Virtual Falmouth Road Race. We also encourage runners or walkers with a number/bib from another source to join our team to run and fundraise on behalf of the foundation. Indicate your commitment to run or walk for the Vanessa T. Marcotte Foundation by selecting one of the following: *
What is your fundraising goal? *
Please detail your fundraising plans and any previous fundraising experience. Include potential donors if known. *
Please describe why you would like to run or walk for the foundation, and explain if you have any personal experience with the Vanessa T. Marcotte Foundation. This information may be used to support media and promotional efforts. *
Your emergency contact information: name, relationship, phone # *
Your social media platforms *
Race day tank or singlet. What is your shirt size? Male or female sizing? *
As an applicant, I agree that: If selected, I will make a $50 team fee payment onto my Race Roster Charity fundraising page. This will count towards my minimum fundraising requirement & will set the tone for others who support me. (We'll help you set up your page).  •                                                                         If selected, I will complete the official ASICS Falmouth Road Race online registration form-there is no charity registration fee required.  • I will raise $750 to support VTMF as detailed in this application (or $300 if I already have an entry from another source). • If injured or unable to run, I remain responsible for raising or donating the funds I have agreed to raise. • I will follow all ASICS Falmouth Road Race rules. *
PLEASE CHECK BOX. Release form and contribution agreement: In consideration of my accepting this entry, I hereby for myself, my heirs, executors and administrator, waive and release any and all claims and damages I may have against The Vanessa T. Marcotte Foundation and its employees, volunteers, representatives, and consultants, including the Marcotte Family and Take Root Advisors, for any and all injuries suffered or sustained by me in said event and in the training of said event or travel to and from (if applicable) any of the preceding. I further attest that I am physically fit and have sufficiently trained for competition in this event. I also grant permission for use of my name and/or photograph or voice in broadcast, telecast, print or any other account of this event and agree to waive compensation for such use. If selected, I will complete the ASICS Falmouth Road Race supplemental race registration-there is no registration fee required for charity runners. I agree to collect a fundraising minimum of $750 for The Vanessa T. Marcotte Foundation, or $300 if I already have an entry through other official means, by August 15, 2021. I fully understand that once I register for the race, I am obligated to complete the fundraising even in the event of injury or not being able to participate for any reason. I fully understand that the foundation reserves the right to charge the balance I owe (if any) to my credit card. I declare that I have exercised my own judgment in signing this agreement and I further declare that the decision to sign this agreement is my own. *
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