Falmouth Road Race | Girl Scouts of Eastern Massachusetts (GSEMA)

We're thrilled to be part of the Falmouth Road Race Numbers for Nonprofits program this year! GSEMA has 20 charity bibs available for members of Team Run Like a Girl Scout. Each runner is asked to raise a minimum of $1,500 to participate. Applications are now being accepted, and we will review applications and award bib numbers on a weekly basis until our team is full.

Questions? Please contact Stacy Wilbur, Senior Director of External Relations, at swilbur@gsema.org.

Please choose one:

I am a CHARITY RUNNER and I need a bib through GSEMA.I am a REGISTERED RUNNER.

Contact and Personal Information

First Name

Last Name

Email Address

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Date of Birth

Date

Phone Number

Area CodePhone Number

Emergency Contact Information

First and Last Name

Relationship

Phone

Fundraising Experience

Have you participated in a marathon/road race charity program before? If yes, for which charity and how much financial support did you raise?

What is your fundraising goal for the 2024 ASICS Falmouth Road Race?

What ideas do you have for raising funds?

Please describe why you would like to run for Girl Scouts of Eastern Massachusetts.

Does your company have a matching gift program?

YesNoUnsure

Running Experience

Select your running level:

BeginnerIntermediateAdvancedOther

Have you run a half-marathon and/or a marathon before?

YesNo

Do you have any injuries or concerns that will negatively impact your ability to complete a marathon?

YesNo

If yes, please explain.

Additional Information

Do you use social networking sites?

YesNo

Please check all that apply:

FacebookInstagramLinkedIn

Unisex T-shirt Size

Singlet Size

Do you have a prior connection to Girl Scouts or a favorite Girl Scouting memory? If so, please share:

Can we share your story on our social media channels?

YesNo