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Apply to Run with Team Animal League in the ING NYC Marathon 2013

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Thank you for your interest in joining Team Animal League, running in the ING New York City Marathon on November 3, 2013. Please fill out the below information and submit it to us via this online form. Applications must be received no later than August 31, 2013 (11:59pm EST). All selected Team Animal League runners will be notified approximately one week after submission.

Gold & Silver Levels of Team Animal League

Choose Gold Level Runner if you need a race entry:
Gold Level Runners are given guaranteed entry into the ING NYC Marathon. Approved applicants must commit to a fundraising minimum of $3,000 and make a good faith deposit of $100, which will be applied towards your fundraising goal. *

Choose Silver Level Runner if you already have a race entry:
Silver Level Runners must already have an entry number for the ING NYC Marathon 2013. To support and run with Team Animal League, we ask that you pledge to raise $500 or more. *

* All runners will be asked to fulfill their fundraising minimum by October 15, 2013. All fundraising proceeds and deposits will be considered a charitable donation to the Animal League and we will send you confirmation of this donation for tax purposes.

In order to ensure that as much of your donation as possible goes back directly supporting the dogs, cats, puppies and kittens of North Shore Animal League America, all runners will be responsible for additional costs such as transportation, hotel accommodations and event registration fees.

Team Level *:
(please see box to right for Team Level details)
Marathon Entry Number *:
First Name *:
Last Name *:
Street Address *:
City *:
State *:
Zip *:
Country *:
Date Of Birth (MM/DD/YYYY) *:
Age *:
(You must be at least 18 on the date the event commences in order to participate.)
Home Phone:
Business Phone:
Cell Phone *:
Gender:
E-Mail Address *:
Confirm E-mail Address *:
Fund Raising Goal Amount *
Number of marathons previously run, if any? *
How did you hear about
Team Animal League? *
Why do you want to run for
Team Animal League? *