Release Form and Contribution Agreement:

In consideration of Jhpiego accepting this individual entry for the 2024 TCS NYC Marathon, I hereby for myself, my heirs, executors, and administrators, waive and release any and all rights for claims and damages I may have against Jhpiego, its employees, volunteers, officers, and sponsors for any and all injuries suffered or sustained by me, including death, in said event; in the training and planning sessions for said event; or in 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 use of my name and/or photograph or voice in broadcast, telecast, print, or any other account of this event and agree to waive any compensation for such use.

I agree that if Jhpiego offers and I accept a bib, I will fundraise a minimum of $3,000 for Jhpiego by December 31, 2024. If I have not reached the fundraising minimum by that date, I WILL PERSONALLY BE RESPONSIBLE FOR THE BALANCE OWED. I understand that unless I cancel within the required time period, the Jhpiego reserves the right to charge the balance I owe to my credit card.

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 representation of Jhpiego.

In the event of an illness, injury, or medical emergency arising during the event or in the training and planning sessions for said event, I hereby authorize and give my consent to Jhpiego to secure from any accredited hospital, clinic, and/or physician any treatment deemed necessary for my immediate care. I agree that I will be fully responsible for payment of all medical services and treatment rendered to me, including but not limited to medical transport, medications, treatment, and hospitalization.

I agree that Jhpiego will send notice to me at the email address provided in Section 1 of this application. I will inform Jhpiego in writing of any change in my email address.

Fundraising Commitment:

A minimum fundraising requirement of $3,000 received by Jhpiego by December 31, 2024, is required to join the Jhpiego marathon team and receive an individual entry for the 2024 TCS NYC Marathon. The New York Road Runners (NYRR) established the minimum, and Jhpiego may be liable for any gaps in fundraising. The $3,000 fundraising minimum requirement applies to each individual entry provided to Jhpiego by the 2024 NYRR Charity Program for the 2024 TCS NYC Marathon. Jhpiego will charge each applicant offered a bib a $100 non-refundable deposit to the credit card provided on this application to hold the bib in the applicant’s name. Jhpiego will apply the deposit to the runner’s fundraising minimum.

If you do not meet the minimum fundraising requirements by the required date, Jhpiego reserves the right to charge the balance owed to the credit card provided on your application. MasterCard, Visa, and American Express are accepted.

If you continue to fundraise and meet the minimum fundraising requirement after Jhpiego charges your credit card for the remaining balance, Jhpiego will reimburse your card upon written request.

Anyone conducting online fundraising must act in accordance with Jhpiego practices, including the use of the platform requirements as determined by the Charity Partner Agreement between Jhpiego and the NYRR TCS NYC Marathon . Jhpiego counts offline donations towards the fundraising minimum ONLY when Jhpiego receives the funds. You are responsible for submitting all offline donations to Jhpiego. A Team Jhpiego runner cannot use raised funds to credit another Team Jhpiego runner’s fundraising requirement.

Cancellation Policy:

If Jhpiego offers you a spot on the marathon team, Jhpiego will send official notice to you at the email address you provided in the application. You may decline or cancel your participation with the Jhpiego marathon team within 48 hours of when we send you official notice that you have a spot on our team. If you cancel within the 48-hour time period, you will be refunded your $100 deposit, and you will no longer be responsible for the $3,000 fundraising minimum. You must contact the Jhpiego Team Administrator, in writing, within the required time period at kendall.towe@jhpiego.org to decline or cancel.

If an unforeseen circumstance occurs and you wish to cancel your participation between the time you accept and September 10, 2024, Jhpiego will try to find a replacement from our waiting list. If Jhpiego is unable to secure a suitable replacement, you will be responsible for fulfilling the $3,000 fundraising minimum. After September 10, 2024, no replacements can be made for any reason, including injury or illness. All runners must register with NYRR by September 10, 2024. Our office WILL NOT refund any accepted donations.

NYRR TCS NYC Marathon Race Registration Fee:

Each runner is responsible for paying their NYRR race registration fee, which is estimated at $295. Jhpiego does not reimburse the race registration fee. This fee does not affect the minimum fundraising requirements.

Matching Gift Policy:

Many companies match employee charitable contributions. Check with your employer to see if your company has this program and ask donors if their employers match gifts. Many companies issue matching gift checks quarterly or semi-annually;: therefore, if you plan to use a match to reach your minimum fundraising commitment, it is your responsibility to contact the matching company to ensure they issue the check before December 31, 2024. You should also inform the Jhpiego Team Administrator of any anticipated company match so we can ensure it gets applied to your fundraising total. If the company’s match cycle is past December 31, 2024, the match cannot count toward your minimum.