Register for Jack's Team

OR CHOOSE YOUR OWN RACE!

* required information
Race Name:*
Please Select One:*

I am applying for a guaranteed race entry from Jack’s Team
I have already secured a race entry and would like to join Jack’s Team  
I have applied for a bib through the NYC Marathon Lottery

Please Note: Once the NYC Marathon lottery is drawn, please contact Jack’s Team ASAP to update your entry status. Jack’s Team NYC Charity bibs are assigned per runner request on a first come first served basis after the lottery is drawn. Priority is given to runners who have pre-registered for Jack’s Team and to runners who have started their fundraising. If you do receive a bib through the lottery, you are still welcome and eligible to run on Jack’s Team.
Title:
First Name:*
Last Name:*
Suffix:
Address Line 1:*
Address Line 2:
City:*
State:*
Province:
ZIP/Postal Code:*
Country:
Email:*
Phone:*
Business Phone:
Cell Phone:
May we contact you via cell phone text message? Yes   No  
Birth Date:* (mm/dd/yyyy)
Gender:* Female   Male  
Emergency Contact Name:
Emergency Contact Phone Number:
Emergency Contact Relationship:
Allergy to Medications?
Please list:
Tech Shirt Style: *
Please Make a Selection		 Race Singlet   Short Sleeve  
Tech Shirt Size:*
Fundraising Goal: $
Why do you want to join Jack's Team?:
Accept Waiver:*
(click to view waiver)		 Initial Date