Join Team Yitzi!

Runner Signup Form

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Your Information

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Marathon Information

Sunday, March 5th 2023 The Baptist Health 305 Half Marathon & 5K

Which Marathon are you joining?

Registration Fee

Did you participate in Run4Yitzi last year?

Yes

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Agreements

Are you over 18 years old?*

Minimum Age Requirement*

13.1 HALF MARATHON ONLY. I agree to the Minimum Age Requirement. Must be 18 years old. Minors wishing to join will need to contact a Team Administrator for a telephone interview as well as a parents consent.

Parental Consent*

I acknowledge that I am under 18 years old and signing up with parental consent.

Parent Name*

Parent Phone*

FUNDRAISING REQUIREMENT AGREEMENT

TEAM YITZI - Run4Yitzi is an important fundraising project. Every dollar raised goes directly to Hurwitz Family Fund, which was established to pay for Rabbi Yitzi's medical expenses. In order to secure my spot with Team Yitzi, I agree to pay a non-refundable registration fee, per above. This fee will be counted as a charitable donation against my fundraising requirement pledge. I agree to personally take on the responsibility of completing my fundraising campaign by no later than MARCH 5, 2023. Fundraising Minimums: Individual: $1800/ person. Family Teams: $1000/ additional immediate family member on your team (spouse, sibling, parent, or child)

FUNDRAISING POLICY

I understand that by signing up for Run4Yitzi 2023 I am committing to fundraise $1,800 for Yitzi and his family. Each participant is required to raise $500 by January 1, 2023, and the remainder of his/her fundraising goal by March 5th, 2023 - prior to the event. If a participant has not met his/her goal by these dates, Run4Yitzi reserves the rights to charge the runner’s credit card with the remaining due balance. Back-out Policy: If a participant is unable to participate for any reason, he/she can back out of the event up to 3.5 weeks prior to event. However, after February 13th, you will be required to fundraise the full fundraising amount you have committed to.

FUNDRAISING REQUIREMENT AGREEMENT*

Yes, I have read, fully understand and agree to the FUNDRAISING REQUIREMENT AGREEMENT and FUNDRAISING POLICY

MEDIA AGREEMENT*

Yes, I agree to have my image used on promotional material by Run4Yitzi

Payment Information

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