Team Dignity Matters 2026 Boston 10K for Women ApplicationTeam Dignity Matters will be at the Boston 10K for Women on Saturday October 10, 2026!Each Team member commits to raising funds to help Dignity Matters provide free menstrual care to women and girls living in poverty. Menstrual care is expensive and there are no government programs (not even SNAP/Food Stamps or WIC) that help people afford these items when they need them. 2 in 5 women and girls regularly miss work or school because they don't have menstrual care!BONUS: Avoid the locker lines before and after the race and leave your items at the secure, fully-staffed Dignity Matters Tent!To be considered to receive a bib to run the 2026 Boston 10K for Women on Saturday, October 10th, 2026, please complete this application. Each Team Dignity Matters bib comes with a requirement to raise $500 or more to help us provide free menstrual care to women and girls living in poverty.If you have any questions, please email: info@dignity-matters.orgThank you!* Indicates a required questionEmail * Last Name * First Name * Address * City * State * Zip Code * Cell Phone * Home Phone Work Phone I would like to be contacted at: * Cell PhoneHome PhoneWork PhoneEmployer Name Title/Occupation Does your company have a matching gifts program?Does your company have a matching gifts program? * YesNoI don't knowI am not currently employedMatching Gift Policy: Many companies match employees’ charitable contributions. You can check with your employer and ask your donors if their employers match gifts. Many companies issue matching gift checks quarterly or semi-annually: if you plan to use a match to reach your minimum, it is your responsibility to contact the matching company to ensure the check is issued before the fundraising deadline (October 31, 2026). It is your responsibility to request any documentation your employer needs from Dignity Matters.Women's Shirt Size (select one):Women's Racing Singlet Size * SMLXLXXLOtherHave you run a 5k, 10k, or 7-mile race before? If so, what were your finishing times? If not, are you confident that with proper training you can complete the Boston 10K for Women? Have you previously participated in a road race charity program? YesNoIf yes, please share the name(s) of the charity, when you participated, and how much you raised: For 2026, the Boston 10K for Women has set a fundraising minimum of $500 for each charity runner. What will your fundraising goal be as a member of Team Dignity Matters? Please list 2-3 ways you plan to raise funds to meet your goal: Name of Emergency Contact * Emergency Contact Phone Number * What is your relationship to your Emergency Contact? * Fundraising Commitment: A minimum fundraising commitment of $500 (“minimum donation”) is required to join Team Dignity Matters and receive an entry for the 2026 Boston 10K for Women. Valid credit card information must be included with your application for Team Dignity Matters. You have until October 31, 2026, to meet the minimum donation. If you do not meet the minimum donation by 11:59 PM EST on October 31, 2026, Dignity Matters reserves the right to charge the balance to your credit card. MasterCard, Discover, Visa, and American Express are accepted.I agree to collect the minimum donation for Dignity Matters by October 31, 2026, unless prior written arrangements have been made. If I have not reached the minimum donation by that date, I will personally be responsible for the balance owed. I understand that unless I cancel by August 15, 2026, Dignity Matters reserves the right to charge the balance I owe to the credit card listed below.I agree to the Fundraising CommitmentCancellation Policy: You may cancel your participation at the Boston 10K for Women with Team Dignity Matters, waiving your responsibility for the minimum donation, on or before August 15, 2026. To do so, you must notify Dignity Matters in writing on or before August 15, 2026. After August 15, 2026, you are responsible for raising the minimum donation, even if for any reason (including injury) you are unable to participate in the Boston 10K for Women.I agree to the Cancellation PolicyPublicity/Images: Dignity Matters may choose to include a biography, photograph, and other materials on its website, social media and other media to promote your Boston 10K for Women fundraising efforts. I grant permission for use of my name and/or photograph or voice in broadcast, telecast, print, or any other account of this event and agree to waive any compensation for such use.I agree to the Publicity PolicyBib Pick-Up Policy: All runners are responsible for picking up their own bib on race day (October 10, 2026) between 6 and 8:30am. Any runner that does not pick up their bib will not be allowed to run the race.I agree to the Bib Pick-Up PolicyRelease Form: In consideration of my accepting this entry, I hereby for myself, my heirs, executors, and administrators, waive and release any and all rights for claims and damages I may have against Dignity Matters, its employees, volunteers, officers, and sponsors for any and all injuries suffered or sustained by me in said event, in the training and planning sessions for said event, or travel to or from any of the preceding. I further attest and certify that I am physically fit and have trained sufficiently for competition in this event, and a licensed medical doctor has verified my physical condition. I declare that I have exercised my own judgment in signing this agreement and I further declare that the decision to sign this agreement was voluntary and not based on or influenced by any representation of Dignity Matters. In the event of an illness, injury, or medical emergency arising during the event or in the training and planning sessions for said event, I hereby authorize and give my consent to Dignity Matters to secure from any accredited hospital, clinic, and/or physician any treatment deemed necessary for my immediate care. I agree that I will be fully responsible for payment of any and all medical services and treatment rendered to me, including but not limited to medical transport, medications, treatment, and hospitalization.I agree to the Terms & Forms* Please Type Your Full Name * By typing my name above, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature. I agreeTODAY'S DATE * Date Credit Card Number*Your card will not be charged unless you fail to raise the $500 minimum by October 31, 2025.Credit Card Expiration Date*