Join Team Yitzi!

Runner Signup Form

YOU MUST BE 10TH GRADE AND OLDER TO JOIN

"*" indicates required fields

Your Information

Name*

First Last

Email*

Mobile Phone*

Current Location*

Date of Birth*

Recruited By?

Picture for the website

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Accepted file types: jpg, gif, png, pdf, Max. file size: 8 MB.

Marathon Information

Sunday, March 3th 2024 The Baptist Health 305 Half Marathon & 5K

Which Marathon are you joining?

Registration Fee

Did you participate in Run4Yitzi last year?

Yes

Please select a Username*

Please set a Password

Enter Password Confirm Password

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.

Under 18 Years of Age:

Participants under 18 years of age must meet the following requirements to register for the marathon: Must be in 10th grade or higher: Participants under 18 years of age must be in the 10th grade or a higher grade level in school to be eligible to register for the marathon. Proof of grade level may be required during registration. “Accompanied by a Parent or Guardian: Participants under who do not meet the grade level requirement may still register for the 5K marathon if accompanied by a parent or legal guardian. The parent or guardian does not need to participate in the marathon.

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 $36.00 fee, per above. I agree to personally take on the responsibility of completing my fundraising campaign before March 3, 2024. 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 2024 I am committing to fundraise $1,800 for Yitzi and his family. Run4Yitzi reserves the right to charge the runner’s credit card if the remaining balance of the $1800 commitment is not raised by the marathon date.

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

Coupon Code

Skip if you don’t have one

Total

subscription

Credit Card*

Please note. This credit card will be used if $1,800 is not raised.

"*" indicates required fields

Your Information

Name*

First Last

Email*

Mobile Phone*

Current Location*

Date of Birth*

Recruited By?

Picture for the website

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 8 MB.

Marathon Information

Sunday, March 3th 2024 The Baptist Health 305 Half Marathon & 5K

Which Marathon are you joining?

Registration Fee

Did you participate in Run4Yitzi last year?

Yes

Please select a Username*

Please set a Password

Enter Password Confirm Password

Agreements

Are you over 18 years old?*

Minimum Age Requirement*

Parental Consent*

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

Under 18 Years of Age:

Participants under 18 years of age must meet the following requirements to register for the marathon: Must be in 10th grade or higher: Participants under 18 years of age must be in the 10th grade or a higher grade level in school to be eligible to register for the marathon. Proof of grade level may be required during registration. "Accompanied by a Parent or Guardian: Participants under who do not meet the grade level requirement may still register for the 5K marathon if accompanied by a parent or legal guardian. The parent or guardian does not need to participate in the marathon.

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 $36.00 fee, per above. I agree to personally take on the responsibility of completing my fundraising campaign before March 3, 2024. 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 2024 I am committing to fundraise $1,800 for Yitzi and his family. Run4Yitzi reserves the right to charge the runner's credit card if the remaining balance of the $1800 commitment is not raised by the marathon date.

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

Coupon Code

Skip if you don't have one

Total

subscription

Credit Card*

Please note. This credit card will be used if $1,800 is not raised.