Marathon Date: November 5, 2017 Application Deadline: September 1, 2017 Requirements for NYC Marathon RunnersParticipation on the Running for Rare TCS Marathon Team require serious time and energy. Please only apply if you are willing to meet the following commitments:* Build and foster a relationship with a RARE Community Partner Participate in team runs (as applicable) Raise $3,000 for the NORD/NIH Undiagnosed Diseases Program Fund Pay $75 team registration fee Cover the TCS Marathon Processing fee of $11 Cover the TCS Marathon Registration fee of $255 for NYRR members or $295 for non-NYRR members (these are US resident rates) Run 26.2 miles *All items must be checked off in order for your application to be considered*Name First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Phone*Email* Gender*MaleFemaleBirth Date* MM DD YYYY Emergency Contact 1*Full name and phone numberEmergency Contact 2Full name and phone numberSinglet Size*Extra SmallSmallMediumLargeExtra LargeEach team member will receive a singlet to wear during their marathon run. Unisex Shirt Size*SmallMediumLargeExtra LargeWhy is raising awareness on behalf of the greater rare disease community important to you?*Why do you want to join the Running for Rare Diseases Team?*Have you been involved with the Running for Rare Diseases team as a runner, partner, volunteer and/or attend an event hosted by a runner?*What is your greatest strength that you will bring to the team?*What other life experiences and/or unique perspectives and skills can you contribute?Describe your commitment to establishing a relationship with your RARE Community Partner?*Other charities participation and fundraising results*Please describe in detail your experience in partnering with other charities as a runner and/or fundraiser and the results of that partnership.What 3 words describe your personality?* Hobbies and interests*Please describe some of your hobbies and interests.Is there anything else you'd like to add?