Tenacity, Inc. Athletic Association Official Charity Partner 2016 Boston ® Runner Application

Thank you for your interest in joining the Tenacity Marathon Team 2016.

Please complete this application and mail to the address below. There is a $15.00 application-processing fee in order for your application to be reviewed. Payment may be made by including your credit card information on the last page of this application, signing and checking the box indicating permission to charge your card - or by including a check for $15.00 made to Tenacity, Inc.

Tenacity will accept applications through December 31, however our team may fill up before the end of the year so we encourage you to apply now. Acceptance onto the team will be made on a rolling basis at the discretion of Tenacity. When our team is filled, we will post a notice on our web site at www.tenacity.org/Boston_Marathon.php.

You will be notified by email that your application has been received and is in process. If you pass the first review, you will be invited to interview by phone or in our corporate office in Brighton.

We appreciate your consideration in supporting Tenacity’s mission through the B.A.A. Official Charity Program.

Please send completed application to - Caroline Lane B.A.A. Charity Program Liaison Tenacity, Inc. 38 Everett Street, Boston, MA 02134 Preferred route: [email protected]

PLEASE PRINT LEGIBLY.

Last Name ______First Name ______

Address ______

City ______State ______Zip ______

Birth Date ______Gender ______

Cell ______Work ______Home ______

Preferred E-mail ______@ ______

Employer ______Position/Title ______

Employer Web Address ______Matching Gift Program ____Y ____N

Your Social Media names (if applicable)

Facebook ______LinkedIn ______

Twitter ______Instagram ______

Shirt Size (please circle) XS S M L XL Other:______

2

www.Tenacity.org/Boston_Marathon

FUNDRAISING. How did you learn about Tenacity and how does our Mission resonate with you? ______

What is your fundraising goal for Tenacity? $______The B.A.A. required minimum for participation is $5,000. Tenacity runners average $7,500. We require all runners use Tenacity Marathon Team’s Crowdrise.com fundraising page. Fundraising goals must be met by April 18, 2016, and we strongly encourage being halfway to your goal by January 31, 2016.

Please share your Tenacity Marathon Team 2016 fundraising strategy. Will you solicit colleagues, friends, family, other? Create a video? Host a fundraiser? Use social media? Other plans? ______

What social media do you use? ___Facebook ___LinkedIn ___Twitter ___Instagram ___Other ______

Have you participated in other marathon or athletic charity/fundraising programs before? Y/N Name of Charity: ______Event: ______Amount raised: $______Yr. ____ Name of Charity: ______Event: ______Amount raised: $______Yr. ____

Other fundraising experience? How might it impact reaching your stated fundraising goal? ______3

www.Tenacity.org/Boston_Marathon

RUNNING. Your current weekly running mileage: ______Your typical mpm pace: ______Your weekly physical fitness regimen: ______

# of Bostons/other you have run, if any: ____Bostons ____26.2s ____13.1s Your running club or team experience, if any: ______

Do you believe you can complete the in less than six hours? ____Y ____N

PERSONAL. If you are invited to join the Tenacity Marathon Team, how will your presence positively impact our team? ______

Do you plan to participate in our team training runs and other camaraderie building endeavors? Coaching, runs, meetings, and marathon day party will be offered. ______

Please share any additional information about yourself that is relevant to this application: ______

4

www.Tenacity.org/Boston_Marathon

Tenacity, Inc. Terms and Conditions Please read the following carefully before signing below. Fundraising Commitment: A minimum fundraising commitment of $5,000 is required by the B.A.A. to be accepted onto the Tenacity, Inc. B.A.A. Official Charity Program team. Your $5,000 or stated fundraising goal is due on or before April 18, 2016. Tenacity will continue to accept donations after April 18, 2016. Tenacity reserves the right to remove a member from the team prior to B.A.A. registration in February 2016. B.A.A. Registration: Tenacity will inform you of the details of the B.A.A. registration after your application has been reviewed and accepted. Of note, the B.A.A. charges a $350.00 race entry fee for all official entrants, charity and qualified. Tenacity Marathon Team Application Processing: There is a $15.00 processing fee in order for your application to be reviewed by Tenacity. Your credit card information, signature and checked box below indicate your authorization of Tenacity charging your card this fee unless this application comes by mail with a check made out to Tenacity. in the amount of $15.00. This payment is non-refundable. Please DO NOT make your payment on www.tenacity.org. Tenacity Marathon Team Acceptance: New this year… Tenacity will charge all accepted runners a $50 team fee to offset the costs of our new training program and other expenses. A representative from Tenacity, Inc. will notify you that you have been accepted onto the Tenacity Marathon Team. Upon your acceptance of our invitation, Tenacity will charge your Master Card or Visa credit card $400.00. This payment will secure your position on our team and will be used to pay your official B.A.A. registration fee of $350.00. This payment will not be applied to your fundraising commitment. This payment is non-refundable except in certain circumstances. Please DO NOT make your payment on www.tenacity.org. Please do not contact the B.A.A. directly to secure your number. Your Release and Contribution Agreement: In consideration of my accepting this entry, I hereby for myself, my heirs, executors and administrators, waive and release any and all rights for claims and damages I may have against Tenacity, Inc., its employees, volunteers, officers and sponsors for any and all injuries suffered or sustained by me in said event, in the training and planning sessions for said event, or travel to or from any of the preceding. I further attest and certify that I am physically fit and have sufficiently trained for competition in this event, and a licensed medical doctor has verified my physical condition. I also grant permission for any use of my name and or photography or voice in broadcast, telecast, print or any other account of this event and agree to waive any compensation for such use. I agree to collect a minimum of $5,000 for Tenacity, Inc. by April 18, 2016. If I have not reached my stated fundraising goal by that date, I will personally be responsible for the balance owed. I understand that by giving my credit card information, Tenacity, Inc. has permission to charge my credit card the balance owed on my commitment on April 19, 2016. I declare that I have exercised my own judgment in signing this agreement, and I further declare that the decision to sign this agreement was voluntary and not based on or influenced by any representative of Tenacity.

Please Choose One: ______Master Card ______Visa

Card Number ______Exp. Date ______

Name on Card ______Security Code ______

Billing Address ______City ______State ___ Zip ______

Signature ______Date ______

Check here authorizing Tenacity to charge your credit card.

Boston Marathon® and the Unicorn logo are trademarks of the Boston Athletic Association and are used with permission by Tenacity, part of the B.A.A.’s official charity program for the Boston Marathon.

5

www.Tenacity.org/Boston_Marathon