One Mission Running Program

2017 New Balance Falmouth Road Race Application

Thank you for your interest in joining One Mission to help brighten the road to recovery for kids fighting cancer and their families.

One Mission is a pediatric cancer charity that does whatever it takes to get kids through cancer. One Mission programs make living in the hospital less lonely and stressful, bring back joy in a time of fear and uncertainty, and give kids and their loved ones the support they need to get through the emotional and financial challenges of treatment.

Please complete the following application. Completion of this application does not guarantee you a spot on the team. You will be informed by One Mission if you’ve been chosen as a member.

If you are selected to the Team, a $30 non-refundable fee must be paid to One Mission to confirm your spot via the Team’s Falmouth Road Race fundraising page.

Runners are responsible for their race registration fee paid directly to the New Balance Falmouth Road Race.

For more information please contact:

Kimberly Chisholm
kim@onemission.org
508-861-2614

Team One Mission - New Balance Falmouth Road Race Application 2017

    Note: Runners are responsible for paying their race registration fee.
  • Runner Information

  • Please answer the following questions so that we can get to know you.

  • Fundraising Experience:

  • Running Experience

  • New Balance Falmouth Road Race - August 20, 2017

    One Mission, Inc. - Terms and Conditions of Participation on One Mission's Team for the 2017 New Balance Falmouth Road Race

    The undersigned applicant (“Applicant”) desires to participate on the One Mission, Inc. (“One Mission”) team in the New Balance Falmouth Road Race to be held in Falmouth, Massachusetts on August 20, 2017 (the “Race”).  Applicant hereby acknowledges and agrees that registration in the Race as a member of the One Mission team (the “Team”) will be subject to confirmation of acceptance and approval of Applicant’s application.  In the event Applicant is accepted to the Team, applicant must then register with the New Balance Falmouth Road Race through the designated registration link that will be sent to the Applicant. Applicant is responsible for their own entry fee, paid directly to the New Balance Falmouth Road Race.

    Release and Contribution Commitment:  Applicant hereby waives and releases any and all claims for damages Applicant may have against One Mission and its employees, volunteers, consultants and product sponsors (collectively the “One Mission Releases”) for any and all injuries suffered or sustained by Applicant which are in any way related to the Race, including, without limitation, resulting and/or related to training, planning sessions and travel.  Applicant further hereby agrees to defend, indemnify and hold the One Mission Releases harmless from any such claims and/or actions.  Applicant hereby agrees that the foregoing release shall apply to and be binding upon Applicant’s heirs, executors, administrators and legal representatives.  Applicant further attests and certifies that Applicant is physically fit and will have sufficiently trained for the Race and that, prior to the Race, Applicant’s qualified medical doctor shall verify to Applicant that his/her physical condition is suitable for participation in the Race.

    Applicant hereby grants One Mission the irrevocable, perpetual right to use in any manner Applicant’s name, photograph, likeness and voice in broadcast, telecast, print and/or any other account of or relating to the Race, and hereby waives (a) any right to receive compensation for such use and (b) any claim related to such use, including, without limitation, invasion of privacy and right to publicity claims.

    Applicant hereby agrees to collect and remit to One Mission by August 31, 2017 a minimum of One Thousand Two Hundred Dollars ($1,200.00). In the event Applicant has not remitted such amount to One Mission by such date, Applicant shall be personally liable to One Mission for any shortfall.  In no event shall Applicant fail to turn over to One Mission all amounts collected as donations in connection with Applicant’s participation in the Race. Applicant hereby consents to any collection action taken by One Mission against Application following Applicant’s failure to pay any shortfall and/or for Applicant’s failure to turn over all amounts collected by Applicant in connection with Applicant’s participation in the Race, and further agrees that One Mission shall be entitled to an award of all costs of collection and reasonable attorneys fees in connection with any such action. 

    Applicant hereby designates the following person(s) as the person(s) to contacted in case of an emergency.

    Emergency Contact Information:

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One Mission is a Section 501(c) (3) public charity under the Internal Revenue Code. All donations made to One Mission are tax-deductible to the extent allowed by the Internal Revenue Code. Tax ID# 26-3741880