2027 London Marathon Application

Page 1

2027 London Marathon Team IMPACT GoTeam Application

Please complete all required fields to register for the 2027 London Marathon!

To Apply:

Fill out this form with all required information.

Priority application deadline: September 27th, 2026

Selected applicants will be notified within two weeks of the deadline and have one week from the time of acceptance to confirm their participation.

With any questions, please contact Zoe Makler (zmakler@teamimpact.org) or Lexie Turner (lmehallis@teamimpact.org).

Personal Information

First Name

Last Name

Date of Birth (mm/dd/yyyy)

Gender

Email Address

Phone Number

Nationality / Citizenship

Have you previously been involved with Team IMPACT

Describe your previous involvement

Address

Street Address

City

State / Province

ZIP / Postal Code

Country

Education / Work Information

Graduate School Alma Mater

Undergraduate Alma Mater

Employer

Does your employer have a Match Program?

If your employer offers a matching gift program, please provide the program name

Social Media

Facebook Page

e.g. https://www.facebook.com/yourpage

Instagram Handle

e.g. @yourhandle

LinkedIn Profile URL

e.g. https://www.linkedin.com/in/yourname

Other Social Media?

TikTok, YouTube, Strava

Event Registration

T-Shirt Size

Estimated Finish Time

Have you previously completed a full marathon?

If yes, which races and which years?

Emergency Contact

Emergency Contact Name

Relationship

Emergency Contact Phone

Medical Information

Do you have any medical conditions we should be aware of?

YesNo

Please describe your medical conditions

Fundraising and Short Answer Questions

Why do you want to run for Team IMPACT?

Have you ever participated in an athletic fundraising event for a charity? If so, please specify the event(s) and amount(s) raised:

What will your personal fundraising goal be for the London Marathon?

Describe your fundraising plan if you are selected to participate in the 2027 London Marathon on behalf of Team IMPACT:

Who do you plan to reach out to for fundraising support? Please include any individuals, groups, organizations, or communities in your network.

Page 2

Waiver & Acknowledgement

By checking the box below, you acknowledge that you have read and agree to the event waiver and release of liability. You confirm that you are physically fit and have sufficiently trained for this event.

TERMS & CONDITIONS

I have read this application, and agree to the following terms and conditions:*

Fundraising Commitment: A minimum fundraising requirement of $10,000 is required to join the Team IMPACT Race Team. Injury or inability to take part in or complete the race for any reason does not release you from your fundraising commitment. If your fundraising commitment is not met, your credit card will be charged for the remaining amount.

Cancellation Policy: You may decline your participation within one week of being offered a spot on the team. To decline or cancel, you must contact Team IMPACT (either Lexie (lmehallis@teamimpact.ort) or Zoe (zmakler@teamimpact.org)) within the required time period.

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 your 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 on or before November 9, 2026.

Release Form and Contribution Agreement: In consideration of my accepting this individual entry, I hereby waive and release any and all rights for claims and damages I may have against Team IMPACT, 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 will sufficiently train for competition in this event. 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 waiver any compensation for such use.

Entry Fee: Team IMPACT will inform you of the details of the entry process after your application is accepted. A portion of your fundraising will cover your entry fee into the race.

Information Release: I give Team IMPACT, its designees, agents and assigns, unlimited permission to use, publish and republish in and any form or media, information about me and reproductions of my likeness (photographic or otherwise) and my voice, with or without identification of me by name.

Agreements

I agree to the waiver and release of liabilityI confirm that the information provided is accurate

GA4 Tracking Code

G-Tag ID (Set default value to your Tag ID)

Contact Information