2021 Falmouth Road Race
Race Day: Sunday August 15th, 2021

Thank you for your interest in applying for a Bib# to participate in the Falmouth Road Race with Team Be Like Brit.

If you prefer to hand write your application or have any questions please email Cherylann@BeLikeBrit.org
  • Personal Information

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  • Please upload a photo/copy of your Driver's License.

    *If you are unable to upload this now, please email it to Cherylann@BeLikeBrit.org
  • Health Information

  • If yes, please list each allergy.
    If no, please write N/A.
  • If yes, please list each allergy.
    If no, please write N/A.
  • Please select all that apply.
    To select more than one option, hold down "ctrl" or "command" (for mac) on your keyboard.
  • Please list any other conditions not listed above.
    If no, please write N/A.
  • Please list any sports-related injuries.
    If no, please write N/A.
  • Additional Information

  • See below for more information on matching gifts program.
  • Please choose which you would prefer to wear on Race Day.
  • Running Experience

  • If yes, please include the race information for your most recent race below.
  • If you have not run a timed race before, please include your average pace per mile when recreationally running.
  • If yes, please include the charity name and amount raised below.
  • Getting to Know You

  • (Emailing friends & colleagues? Facebook campaign? Are you part of a club or organization you could share with? etc)
  • Emergency Contact Information

    Please be sure to list someone who will be available on Race Day.
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  • Important Information

    Please read the following information carefully before signing below:
  • Registration Fee

    Be Like Brit requires a non-refundable registration fee of $100 which includes a BLB running performance shirt and access to a personal fundraising website. This registration fee does not count towards your fundraising commitment. You will be required to submit your $100 registration fee once you have been accepted onto the team, via the link provided to you in your acceptance email. Your payment confirmation email will verify your acceptance. The deposit of $100 holds a Falmouth Road Race number in your name.



    Fundraising Commitment

    To participate with the BLB Race Team and receive an entry for the 2021 Asics Falmouth Road Race, each runner is committed to raise a minimum of $1,000 prior to race day. In the event that you do not meet the fundraising commitment requirement by that date, you will have 30 days to continue fundraising to make up the remaining balance. After the 30 days, Be Like Brit reserves the right to charge the balance owed to your personal credit card, unless prior arrangements have been made and agreed upon.



    Matching Gift Policy

    Many companies match employee charitable contributions. You can 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, it is your responsibility to contact the matching company to ensure the check will be issued before August 1, 2021.



    Release Form and Contribution Agreement

    In consideration of my accepting this entry, I hereby for myself, my heirs, executors, and administrators, waive and release any and all rights for claims and damages I may have against Be Like Brit, its employees, volunteers, officers, and sponsors for any and all injuries suffered or sustained by me in said event, in the training and planning sessions for said event, or 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 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 Be Like Brit.

    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 Be Like Brit 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 any and all medical services and treatment rendered to me including but not limited to medical transport, medications, treatment, and hospitalization. The following person should be contacted in the event of an emergency:
  • Signature