Join Our Race for Rehab Team - Spaulding Race for Rehab

Applications to join Spaulding’s 2024 Race for Rehab Boston Marathon Team are now open!

Thank you for your interest in Spaulding’s 2024 Race for Rehab Boston Marathon Team. Applications will be reviewed in mid-October. Those selected will be notified prior to January 1^st.

Name:*
Title First Last
Address:*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone:*
Email:*
Enter Email Confirm Email
Gender:*
Birthdate:*
MM slash DD slash YYYY
Employer:*
Job title:*
My employer is a matching gift company:*
Entry application type:*
- I’m applying to run the Boston Marathon on Monday, April 15th and need an entry.
- I have a confirmed entry from the B.A.A. through a qualifying time or another source.
Please specify the source of your official number:*
I have been a member of Spaulding's Race for Rehab Team in the past:*
If so, please specify the year(s):*
I am a Spaulding employee:*
If so, please list years employed by Spaulding and site:*
I heard about Spaulding's Race for Rehab Team from:*

If being referred by a staff member, alumni or former patient, please include his/her name.
I would like to run for Spaulding because:*
Describe your personal connection to Spaulding and/or rehabilitation medicine. Please be specific in your response.
My fundraising goal is:*
- $7,500
- $10,000
- $25,000
If selected, members of the Race for Rehab Team are required to raise a minimum of $7,500. Qualifiers and those with their own guaranteed entry have a reduced fundraising minimum of $2,500.
My proposed fundraising strategy is:*
My previous fundraising experience includes:*
Please include races, rides, walks, events, etc., total amount raised, and year(s) participated.
I am applying with a friend and/or family member:*
If so, please list the name of each friend and/or family member:*
Is this your first marathon?*
Please list the marathons (and years) you've run:*
Are you available to train locally with the Team?*
Our Team runs are typically held on Saturdays in/around Boston and along the Boston Marathon course.
Race singlet size:*
Please note, our singlets run SMALL. We encourage you to select AT LEAST ONE SIZE LARGER than you typically wear. Men’s and Women’s sizes S-XXL are available.
Shoe size:*
Emergency contact name:*
First Last
Relation to emergency contact:*
Emergency contact phone number:
I, the “Participant,” wish to participate in the 2024 Boston Marathon, being held on April 15, 2024, as a member of Spaulding Rehabilitation’s Race for Rehab Team. If accepted, I agree to raise and/or contribute a minimum of $7,500 (or $2,500 for those with their own confirmed entry) to Spaulding and will be personally responsible for the difference if I fail to collect the required funds by April 19, 2024. To secure my spot on the 2024 Race for Rehab Team, I will set up my personal fundraising page at the direction of Team Management and will provide a valid credit card with an expiration date later than May 1, 2024. Spaulding reserves the right to charge my credit card to achieve all fundraising deadlines. I also understand Spaulding has the authority to rescind my entrance to the 2024 Boston Marathon at the discretion of Team Management for misconduct and/or inadequate fundraising.
In addition to raising a minimum of $7,500 by April 19, 2024, I am responsible for covering all fees associated with the 2024 Boston Marathon, including — but not limited to — my race registration to be paid directly to the Boston Athletic Association and acknowledge this does not count towards my fundraising goal. Entries are non-transferrable and cannot be deferred to a future year. By signing below, I also agree to all terms and conditions of the Boston Marathon set forth by the Boston Athletic Association.
I agree with the above statement:*
- I agree
Electronic signature:*
First Last
Today's date:*
MM slash DD slash YYYY