2023 Elite Athlete Request Form
Thank you for your interest in the Elite Athlete Program for the 2023 ASICS Falmouth Road Race.

Please fill out this form for consideration.

Invitations to compete in the elite field will be sent by mid-July 2023.

Please note, accommodations are only provided for top elites. Travel reimbursement will be offered on a limited and case by case basis.

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 5k Time *
Date of Personal Best 5k Time *
Personal Best 10K time *
Date of Personal Best 10K time *
Additional Accomplishments
I understand that I may be tested for performance-enhancing substances immediately following the race. *
Required
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