Team NEADS - 2019 Falmouth Road Race Application - NEADS World Class Service Dogs

Email*

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Name*

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Address*

Street Address City State / Province / Region ZIP / Postal Code

Phone*

Date of birth

Applicant Status*

I need a charity bib
I have my own bib, but I would like to join the team and raise funds

Have you run this distance before?*

Yes
No

How did you hear about NEADS?*

Why do you want to run for NEADS?*

What will your fundraising goal be? (Minimum is $1,500)*

What inspires you?*

Which Social Media platforms do you use?*

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NEADS Terms and Conditions for the 2019 Falmouth Road Race
Please read the following carefully before submitting your application.
Fundraising Commitment: You must raise the required non-negotiable minimum of $1,500 in order to join Team NEADS and receive an individual entry for the 2019 Falmouth Road Race. You must donate the first $200 of the $1,500 minimum once accepted to pay for the cost of the bib upfront. You will have until 11:59 p.m. EST on August 30, 2019 to meet the fundraising minimum of $1,500.

By submitting this application, I am agreeing to these terms.*

I agree to these terms.

World Class Service Dogs

Team NEADS - 2019 Falmouth Road Race Application

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