JOIN TEAM SAVE THE CHILDREN
IN THE
2016 TCS NEW YORK MARATHON
Where: New York City, NY When: November 6, 2016
Fundraising Minimum: $3,000 + registration fee
Raise $3,500 and your reg. fee will be counted towards your fundraising!
For a limited time, we are offering new members
(1) Grandstand Seating ticket for a spectator on race day!
First come, first serve.
Please submit form below to join the team! Just a few spots left!
Email [email protected] with questions!
TCS New York City Marathon 2016 Agreement
Thank you for your interest in joining us for the TCS New York City Marathon for 2016! Please fill out this
form below to secure your spot on Team Save the Children! By joining our team you will receive a
guaranteed entry into the NYC Marathon for 2016, a virtual training plan and access to our endurance coach,
great swag and gear for race day, and much more! We only ask for you to raise a minimum of $3,000 for
children around the world and in the United States.
CONTACT INFORMATION
NAME: _____________________________________________________________________________
Please use address that you would like your swag bag to be delivered to (no P.O. Boxes):
ADDRESS: __________________________________________________________________________
CITY: _________________________________
STATE: ______________
ZIP: ________________
COUNTRY: __________________________________________________________________________
HOME PHONE: ________________________________ CELL PHONE: ________________________
eMAIL: ______________________________________________________________
How did you hear about us? _____________________________________________________________
 By checking this box you opt-in to receiving e-mail communications from Save the Children
T-SHIRT SIZE:
XS
S
M
L
XL
EMERGENCY CONTACT INFORMATION
In case of an emergency please contact: _________________________________________________
RELATIONSHIP: __________________________________________
PRIMARY PHONE NUMBER: ________________________________
FUNDRAISING AGREEMENT & LIABILITY WAIVER
YOUR FUNDRAISING COMMITMENT: Team Save the Children 2016 TCS NYC Marathon a fundraising
effort for Save the Children Federation, Inc. (SCUS). You will receive a guaranteed race entry for the 2016
TCS New York City Marathon as well as signature team amenities including access to personalized
training plans, fundraising support (including a personal online fundraising page), custom tech tee and
great swag to fashion on race day, from SCUS in exchange for your fundraising efforts.
SCUS has a limited number of guaranteed entries available for the 2016 TCS NYC Marathon. Those
entries are awarded based upon the participant's ability to meet the minimum fundraising requirement. By
signing this form and joining SCUS 2016 TCS New York City Marathon Team Save the Children
group you are committing to raise at least $3,000. You agree to raise the full amount by race day,
November 6th, 2016 11:59PM EST. You understand that SCUS reserves the right to charge your
credit card, as entered on this form below, for any shortfall of your commitment as outlined above.
-------------------------------Please continue to next page ------------------------------Please know that we will help you every step of the way to reach your goal. These campaigns are built on
$100, $250, $500, and even $1000 donations. Your friends, family and coworkers will support you. We will
provide you with lots of suggestions and proven ways to reach your goal, but you must be willing to doPg.
the1 of 3
work on your end to solicit donations.
CANCELLATION POLICY: You are responsible for raising the fundraising minimum, even if for any
reason, including injury or illness, you are unable to participate in the event. You must contact the SCUS
Endurance Program Coordinator, Rebecca Edwards ([email protected] or
[email protected]) as early as possible in writing, if you are not able to participate. In the event
that we are able to find another athlete to take your place, you will be released from your fundraising
commitment after you have either made a donation or collected donations of at least 10% of the fundraising
commitment ($300). However, due to our contractual agreement with TCS NYC Marathon, we cannot
accept cancellations for any reason after September 1st, 2016. Any monies that have been collected from
you before you leave the team are nonrefundable.
EVENT REGISTRATION: You are responsible to pay for your TCS New York City Marathon
registration fee. If you raise $3,500 – we will contribute your registration fee towards your
minimum! You will be notified as to the registration instructions as soon as you turn in this form.
Athletes will be responsible for paying their own travel and hotel expenses. This allows SCUS to continue
its outstanding record of delivering nearly 90% of its SCUS budget toward providing immediate and lasting
change to children in the US and around the world.
OTHER: I agree to be responsive to SCUS Endurance Events staff with regard to my fundraising
progress or lack thereof, and will keep SCUS Endurance Events staff up to date with regard to any
change of address, email or phone contact information, and/or the credit card information provided on
the bottom of this form. Failure to make fundraising progress or to communicate with SCUS Endurance
Events staff will open the team member to the possibility of losing their spot on the team.
I hereby further grant permission to SCUS to use, or authorize others to use, any photographs, videos,
recordings, or any other record of my participation in the Event and as a member of SCUS Team Save
the Children for any legitimate purpose in perpetuity.
LIABILITY WAIVER:
COMPLETE RELEASE OF LIABILITY AGREEMENT: I acknowledge that participating in a marathon,
half marathon, cycling event, triathlon or any other athletic event as a member of SCUS Team Save the
Children, including pre- event training and related team activities is a potentially hazardous activity. I
hereby agree not to participate unless I am medically able and properly trained. I agree to abide by any
decision of an Event official relative to my ability to safely complete the event. I am voluntarily entering
this Event and assume all risks associated with participation. I grant the Medical Director of the Event and
their designee access to my medical records and physicians, as well as other information relating to
medical care that may be administered to me as a result of my participation in the athletic event.
Having read this Waiver and knowing these facts, and in consideration of my acceptance of this application,
I, for myself, my heirs, successors, assigns, legal representatives, and anyone entitled to act on my behalf,
waive and release Save the Children Federation, Inc., and its representatives and successors, officers,
directors, members, agents, and employees from all present and future claims and liabilities of any kind,
known or unknown, arising out of my participation as a member of SCUS Team Save the Children even
though that liability may arise out of ordinary negligence or fault.
I agree that if any portion of this Fundraising Agreement and Liability Waiver is found to be void or
unenforceable, the remaining portions shall remain in full force and effect.
I have read and understood the contents and legal ramifications of this Fundraising Agreement and
Liability Waiver, and understand the conditions of engaging the activity.
SIGNATURE:
DATE:
FULL NAME (Print):
Please return this form to Rebecca Edwards by email or mail.
Email: [email protected]