2020 At-Home Edition Falmouth Road Race Dougie's Team Application
Apply to run in the 2020 Falmouth Road Race for The Doug Flutie Jr. Foundation for Autism as part of Dougie's Team!

If you have questions, please contact Terri Ladka at tladka@flutiefoundation.org 

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First and Last Name *
Personal email *
Cell phone number *
Preferred method of contact:
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Address, Town, State, Zip Code *
Select the category which applies to your status: *
Date of birth *
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Why do you want to run for the Doug Flutie Jr. Foundation for Autism? What is your connection to our cause? Please mention any affiliations with the Foundation or its sponsors. *
Facts about yourself. Tell us about you! What are your hobbies, ambitions, etc. Don't be shy! *
What is your fundraising goal? A goal is also considered your commitment. Our runners are chosen based on their commitment to fundraising and advancing our mission. Higher fundraising goals are prioritized. *
Please explain your fundraising plan and how you will achieve your goal. Be specific! We look for people who have intentional, organized and creative ways to raise funds. *
Having a presence on social media is a great way to fundraise as well as bring awareness to the cause. Which forms of social media platforms are you on? Please provide your social media handles (Instagram, Facebook and Twitter). *
How did you learn about the team? *
Have you ever participated in a charity running program before and if so, what team, which race and how much money did you raise? Give us details! *
Do you have medical conditions or injuries that might interfere with your training? *
Employer (if retired, put retired) *
Does your company have a matching gift? *
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