Native Strength Revolution Runners Application

Native Strength Revolution Runners Application

Join the team with Native Strength Revolution to run the 2023 New York Marathon for our cause!
Participant Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Date of Birth

MonthDayYear
Date
Emergency Contact Name

First NameLast Name
Emergency Contact Number
Please enter a valid phone number.
T-shirt Size -not technical fabric (unisex)
Running Jersey preference

Men's TankMen's Short SleeveWomen's TankWomen's Short Sleeve
Running Jersey Size

XX SmallX SmallSmallMediumLargeX LargeXX LargeXXX Large
Anticipated Finish Time
Personal Fundraising Goal (minimum $3500)
Tell us about yourself
Tell us a little about your race history (5K/ 10k/ half marathon/ marathon/ ultra) Include dates and PR's if you like
Why are you fundraising for Native Strength Revolution?
How can we help meet your fundraising goal?
I understand fundraising is managed by a third-party, Haku. A valid credit card will be required to register as a fundraiser. If funds are not raised by 11/7.23, my card will be charged the difference between the funds I raised and the required amount of $3500. The amount raised does not include the NYRR NYC Marathon registration fee, travel or lodging.
Participant's Signature

Clear
Date

MonthDayYear
Date
Please contact info@nativestrengthrevolution.org with any questions or concerns. Thank you for being a part of the movement to help heal indigenous communities through running, yoga, fitness and all movement!
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Native Strength Revolution Runners Application

Participant Information

Tell us about yourself