2023 TCS NYC Marathon

2023 TCS NYC MARATHON

Thank you for your interest in participating in the TCS NYC Marathon on Sunday, November 5, 2023 with Team Army Ranger.

Please note that all requests are on a first come basis and this does not guarantee your slot.

*You must submit your form then you will recieve your code from LTWF via HAKU to setup your fundraising page. Once your fundraising page is setup you will THEN receive your NYRR code to register for the race itself. Please note you will NOT recieve your NYRR code until your page is setup.*

We look forward to having you be a part of Team Army Ranger in the NYC Marathon!

RANGERS LEAD THE WAY!

Name *

First Name Middle Initial Last Name

Gender *

Male Female

MM/DD/YY *

Email Address *

example@example.com

Phone *

Street Address *

City *

State *

Zip *

Emergency Contact Name *

Emergency Contact Phone number *

Have you run the NYC Marathon with Army Ranger Lead The Way Fund before?

Yes No

How many times have you run the NYC Marathon? *

Adult Performance T-Shirt *

Men's Women's S M L XL XXL (Men's only)

Are you currently, or have you ever, served in the 75th Ranger Regiment? *

Yes No

If yes, please provide Battalions served in and dates of service.

I agree to pay my own entry fee ($255 for NYRR members/ $295 for non-members) and collect a MINIMUM of $3,500 for the Lead The Way Fund, Inc by November 13, 2023. If I have not reached the minimum in sponsorship by that date, I will be personally responsible for the balance owed and hereby grant Army Ranger Lead The Way Fund permission to charge my credit card on file.

***PLEASE NOTE: A LTWF team member will reach out to you on November 13th 2023 to compelte any outstanding balance you may have.***

Army Ranger Lead The Way Fund Policy: In accepting this entry, I hereby for myself and anyone entitled to act on my behalf, waive and release any and all rights to claim for damages I may have against the Lead the Way Fund, Inc. and sponsors for all injuries suffered by me in the 2023 TCS NYC Marathon. I further attest and certify that I am physically fit and have trained for competition in this event, and a licensed medical doctor has verified my physical condition. I also agree to the fund raising agreement as stated above.

Signature *

Date *

Date

SECTION B: LIABILITY RELEASE & POLICY (COMPLETE ALL FIELDS)