2021 Elite Athlete Request Form
Thank you for your interest in the Elite Athlete Program for the 2021 ASICS Falmouth Road Race.

Please fill out this form for consideration.

Invitations to compete in the elite field will be sent by mid-July 2021.

Please note, accommodations are only provided for top elites and there is no travel stipend.

All elites are eligible to compete for a share of the prize purse.

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Email *
First Name *
Last Name *
Date of Birth *
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Email *
Sex *
City and state of current residence *
Cell phone *
Agent's name (if applicable)
Agent's cell phone (if applicable)
Agent's e-mail address (if applicable)
Personal Best 10K time *
Date of Personal Best 10K time *
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Additional Accomplishments
I understand that I may be tested for performance-enhancing substances immediately following the race. *
Required
I understand that producing a negative COVID-19 test may be required prior to arrival in Falmouth and again prior to the start of the race. *
Required
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