2023 United Airlines NYC Half Marathon Form

General Information:
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Date of Birth*
MM slash DD slash YYYY
Choose a singlet/t-shirt size:*
- Extra Small
- Small
- Medium
- Large
- Extra Large
Employer Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Do you need entry for this race through the Manhattan Childrens Center?*
- Yes, I need entry through the charity.
- No, I already have entry for this race.
Please describe why you want to run with the Manhattan Childrens Center team. We want to hear about your story and what makes you a great fit for our team!*

Fundraising Experience:
Have you ever participated in a road race charity program before?*
- Yes
- No
If yes, which charity did you run for, and how much did you raise?
I'm aware that I must raise $2,000 (minimum) to receive a bib to run with Manhattan Childrens Center for the NYC Marathon. I must also sign a waiver committing to this $2,000 minimum.*
I agree to the privacy policy.
Please share your fundraising plan for NYC 2023.*
What is your fundraising goal for this event?*
Have you had experience with the Manhattan Childrens Center?*
- Yes
- No
If yes, which event(s)?

Running Experience:
What is the average number of miles per week that you have run during the past 3 months?*
What has been your longest training run during the past 3 months?*
Have you ever run a marathon before?*
- Yes
- No
If yes, when, where, and how long did it take you?
Are you able to complete a marathon within 6 hours?
Have you ever participated in the NYC Marathon before?*
What is the longest race that you have completed? Please list the distance, date, and time it took you to complete:*
Do you currently belong to a running club?*
- Yes
- No
If yes, which one?

Additional Information:
How did you find the Manhattan Childrens Center?*
If there is any additional information you would like to share with us, please do so here:

General Information: