Marathon Team Application - Wake Up Narcolepsy

Your Name*

First Last

Gender

Male
Female

Date of Birth*

Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Preferred Email Address*

Preferred phone:*

Employer*

Job Title

Work Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Application Type:

I would like to secure an entry (bib) from Wake Up Narcolepsy and commit raising at least the minimum fundraising requirements as part of team Wake Up Narcolepsy.
I have secured an official entry from another source, but would like to join team Wake Up Narcolepsy and commit to fundraising. Please Specify below:
I am B.A.A. Qualified and have secured an official entry through the B.A.A., but I would like to join team Wake Up Narcolepsy and commit to raising funds. Please specify below.

Source of Entry OR Race Date and Qualifying Time

My Motivation

I heard about Team Wake Up Narcolepsy from:

My personal experience with Wake Up Narcolepsy (patient/friend/family member/employee/ etc.) You have my authorization to use this information for media, promotions, etc.:

I would like to run for Wake Up Narcolepsy because:

Fundraising

My personal fundraising goal for Team Wake Up Narcolepsy:*

While the required fundraising minimum is set at $7,500 per runner, we encourage team members to set a higher personal goal to help achieve the Wake Up Narcolepsy team goal of $60,000. Aim high and you will be amazed at what you can achieve! Fund raised through the Wake Up Narcolepsy Boston Marathon fundraising campaign are directed to narcolepsy research.

My company plans to support Wake Up Narcolepsy:

Yes, my company participates in a matching gift program
Yes, my company plans to support Team Wake Up Narcolepsy through a corporate sponsorship.
No, my company does not plan to support my participation with Wake Up Narcolepsy

I plan to raise funds for [your organization name here] through the following methods:

Potential donors (describe in detail):

My other (athletic and non-athletic) charity participation and fundraising experience is as follows:

Running Experience

My running level

Beginner
Intermediate
Advanced

Current weekly running mileage"

Typical training pace (minutes per mile):

Number of previous Boston Marathons I have run:

Number of previous marathons (anywhere) I have run:

Best marathon time / location / date:

Additional Information

Social Media Sites I Use

Do you have a blog?

Yes
No

If yes, what is the web address of your blog?

Hometown newspaper (Please specify town and state):

Current newspaper (Please specify town and state):

My Hobbies/Sports/Interests/Community/Volunteer activities:

A note about myself - best run ever / biggest fan / toughest race / anything unique / extraordinary / obstacles overcome:

My T-shirt Size

My Team singlet size:

Comments

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2023 Boston Marathon WUNners Application

My Motivation

Fundraising

Running Experience

Additional Information