ALS TDI: 2024 UNITED AIRLINES NYC HALF | APPLICATION FORM

The ALS Therapy Development Institute (ALS TDI) is offering the opportunity to participate as an official entrant in the 2024 United Airlines NYC Half Marathon to be held Sunday, March 17, 2024. Before completing the application form below, it is important to note that there is a $2,500 fundraising minimum required of the successful applicant. Those funds support ALS TDI's mission to find effective treatments and cures for Amyotrophic Lateral Sclerosis (ALS).

ABOUT THE ALS THERAPY DEVELOPMENT INSTITUTE (ALS TDI)

ALS TDI is the world's foremost drug discovery center focused solely on Amyotrophic Lateral Sclerosis (ALS). As a nonprofit biotech, its Watertown, MA-based science team actively discovers and develops treatments for ALS. Led by people with ALS and drug development experts, ALS TDI understands the urgent need to slow and stop this disease. Visit www.als.net for more information.

ABOUT ALS

Amyotrophic lateral sclerosis (ALS), also known as Motor Neuron Disease (MND), Lou Gehrig's Disease, and Charcot's disease, is a progressive neurodegenerative disease that attacks motor neurons in the brain and spinal cord. This results in the wasting away of muscle, loss of movement and eventual paralysis. There are an estimated 30,000 people living with ALS in the United States at any given time. Every 90 minutes, someone is diagnosed with ALS. About 90% of all ALS cases are sporadic with no known history of the disease in a family. The remaining 10% of cases are known as familial ALS.

FUNDRAISING MINIMUM

The minimum fundraising requirement is $2,500¹ and must be reached by Sunday, March 24, 2024. Any outstanding balance will be charged by ALS TDI using the entrant's credit card on file on Wednesday, March 27, 2024.

BENEFITS OF RUNNING THE 2024 UNITED AIRLINES NYC HALF MARATHON FOR ALS TDI

ALS TDI offers the following benefits to the successful applicant:

Fundraising tips and assistance in the creation of a peer-to-peer web page for personal fundraising.
Branded training and race apparel.
Pre Race Meet and Greet Dinner in NYC!
"Cheer" zones along race course to keep runners motivated!
Thank you gift!

APPLICATION DEADLINE

Please complete and submit this application by Sunday, December 15, 2024 to be considered. Successful applicants will be chosen by internal selection committee, and notified no later than Friday, December 22, 2023. Contact the ALS TDI Events Team at events@als.net with questions.

¹ While $2,500 is the minimum fundraising requirement, it is our mission to develop treatments for ALS as quickly as possible, and thus we will take note of those applicants with a strategy to raise funds beyond $2,500.

Step 1 of 5

Applicant Information

First Name *

First Name is required

Middle

Last Name *

Last Name is required

Street Address *

Street Address is required

Apartment / Unit #

City *

City is required

State *

State is required

Zip Code *

Zip Code is required

Email *

Email is required Invalid Email, this field should be in the format 'user@example.com'

Phone Number *

Phone Number is required Invalid Phone Number

Gender *

Gender is required

Date of Birth *

Date of Birth is required

Employer *

Employer is required

Occupation *

Occupation is required

Step 2 of 5

Fundraising

Do you have fundraising experience? *

Yes

If yes, please describe below, in particular if you have been part of a marathon or road race charity program. Please also let us know how much you raised. *

A description of your fundraising experience is required

How much will you pledge to raise? *

Other (please specify)

A goal is required

How do you plan to reach your pledged fundraising goal? *

A description of your fundraising plan is required.

Does your employer have a Matching Gift program? *

Yes

If yes, it may be possible to double the impact of your dollars!

Step 3 of 5

Connection to the Cause

Have you, a friend, colleague or family member been personally touched by ALS? *

Yes

What is your relation to ALS? *

Relation to ALS is Required

Please specify (relation to ALS: Other)

Please provide Relation to ALS Other

If yes, please provide details *

Please provide details

Why do you want to run for the ALS Therapy Development Institute? *

Your reason to run is required

Step 4 of 5

Running History

How many marathons have you run, if any? *

Number of Marathons is required

In what year did you run your most recent marathon?

In which cities have you run marathons, if any?

Expected time to complete the 2024 United Airlines NYC Half Marathon? (HH:MM:SS) *

Expected Completion Time is required

Emergency Contact

Name *

Emergency Contact Name is required

Phone Number *

Emergency Contact Phone Number is required Invalid Emergency Contact Phone Number

Relationship *

Emergency Contact Relationship is required

Additional Details

Shirt Size *

Shirt Size is required

Shirt Type *

Shirt Type is required

Is there anything else you would like to share with us as we consider your application?

Step 5 of 5

Agreement and Release

I hereby guarantee that, if my application is successful, I will raise a minimum of $2,500 (minimum fundraising requirement) by Sunday, March 24, 2024 for the ALS Therapy Development Institute. Should I need to drop out after the deadline (Tuesday, September 10, 2024) and am unable to meet this goal for any reason including injury, my signature below indicates that: 1) the ALS Therapy Development Institute has my permission to charge the remaining balance to my credit card on Wednesday, March 27, 2024 the number of which will be provided upon notification that my application is successful and 2) I understand that the ALS Therapy Development Institute reserves the right to remove my registration from the race without refund of funds raised.
I understand that I am required to pay any and all NYRR Fees. The payment of these fees will be able to count towards my fundraising goal.
In consideration of my application, I hereby for myself, my heirs, executors, and administrator, waive and release any and all rights for claims and damages I may have against the ALS Therapy Development Institute and its employees, directors, volunteers, consultants, 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 and from any of the preceding.
I further attest and certify that I am physically fit and that a licensed medical doctor has verified my physical condition.
I verify that I have my own personal medical insurance and 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, medication treatment, and hospitalization.
I grant permission for use of my name, image, likeness and/or photograph in broadcast, telecast, print, or any other account of this event and agree to waive any compensation for such use.

Thank You!

We appreciate your interest in running the 2024 United Airlines NYC Half. Your application has been submitted. Kindly check your email for a confirmation. We will review your information and follow up with an answer. If you have any further questions or comments, please feel free to contact at marathon@als.net.

2024 United Airlines NYC Half | 3.17.2024

Application Form