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$100 Adult Registration Fee
0
$50 Child Registration Fee
0
Adults
0
Staff
0
Children
0
Infants
Total: $
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.
Fill out this form to register. When you’re done, go to “Login” and create your own web page!
Please note that there is a $200 non-refundable registration fee for runners.
High School Student
click here
Runner
click here
Friends & Family
click here
Register
as an Individual
Join
a family team
Start
your own family team
An application is required in order to register.
Click here
to fill out an application form.
Team Preference
-- Select One--
Team Romano
Team Esqua
Team Simhon
Team Baum
Team The Kroubs
Team Rishty Family
Attendees
Please enter all non-runners who will be coming. Joining runners must register separately.
Airfare is not included.
Families up to 4 members will receive 1 lodging room; Families with more than 4 members will receive an additional lodging room.
A $100 non-refundable registration fee applies to each adult non-runner. A $50 non-refundable registration fee applies to each child non-runner.
0
1
2
3
4
5
Adult- Non-runner (Ages 16+)
$1,150
Adult #1 Legal Name:
*
DOB
*
Adult #2 Legal Name:
*
DOB
*
Adult #3 Legal Name:
*
DOB
*
Adult #4 Legal Name:
*
DOB
*
Adult #5 Legal Name:
*
DOB
*
0
1
2
3
4
5
Staff- Non-runner
$1,150
Staff #1 Legal Name:
*
DOB
*
Staff #2 Legal Name:
*
DOB
*
Staff #3 Legal Name:
*
DOB
*
Staff #4 Legal Name:
*
DOB
*
Staff #5 Legal Name:
*
DOB
*
0
1
2
3
Child(ren)
(Ages 3-16)
$700
Child #1 Legal Name:
*
DOB
*
Child #2 Legal Name:
*
DOB
*
Child #3 Legal Name:
*
DOB
*
0
1
2
3
Infant (Under 3)
$0
Infant #1 Legal Name:
*
DOB
*
Infant #2 Legal Name:
*
DOB
*
Infant #3 Legal Name:
*
DOB
*
Registration Information
First Name:
*
full legal name, as on passport
Middle Initial:
Last Name:
*
Mailing Address:
*
City:
*
State:
*
Outside US & Canada
Alabama
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District of Columbia
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Zip Code:
*
Country:
*
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Israel
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Latvia
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Lesotho
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Lithuania
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Macau
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Madagascar
Madeira
Malawi
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Maldives
Mali
Malta
Martinique
Mauritania
Mauritius
Mexico
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Monaco
Montserrat
Morocco
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Myanmar
Namibia
Nepal
Netherlands
Nevis
New Caledonia
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Niger
Nigeria
Niue
Norfolk Island
Northern Ireland
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Oman
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Panama
Paraguay
Peru
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Poland
Ponape
Portugal
Puerto Rico
Qatar
Reunion
Romania
Rota
Russia
Rwanda
Saba
Saipan
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Slovenia
South Africa
Spain
Sri Lanka
St. Barthelemy
St. Christopher
St. Croix
St. Eustatius
St. John
St. Kitts
St. Lucia
St. Maarten
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St. Thomas
St. Vincent
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Tahiti
Taiwan
Tajikistan
Tanzania
Thailand
Tinian
Togo
Tonga
Tortola
Truk
Tunisia
Turkey
Tuvalu
Uganda
Ukraine
Union Island
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Gorda
Virgin Islands
Wake Island
Wales
Western Samoa
Yap
Yemen
Zaire
Zambia
Zimbabwe
Phone Number:
*
Cell Phone:
Email Address:
*
Gender:
*
Male
Female
Date of Birth:
*
--Select Month--
January
February
March
April
May
June
July
August
September
October
November
December
--Select Day--
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
--Select Year--
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
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2012
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2010
2009
2008
2007
2006
2005
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2001
2000
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1956
1955
1954
1953
1952
1951
1950
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1948
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1946
1945
1944
Running Shirt Size:
*
Select Size
Small
Medium
Large
Extra Large
Extra Extra Large
Running Shirt Style:
*
Select Style
Sleeveless
Short Sleeve T-shirt
Long Sleeve T-shirt
Emergency Contact Information
Name:
*
Relationship:
*
Phone:
*
Email:
*
Fundraising Commitment
I am a:
*
-- Select One --
5th-8th 5k Runner
High School Student
College Student
Adult
Staff 5k Runner
Legend 5k Runner (age 65+)
Committee Member
Trainer (includes spouse)
High school students must fill out
an application
before registering.
Race:
5k Marathon
I understand that by participating in the Team SBH Disney Marathon I am committing myself to raise a donation minimum of $2,400 + $200 deposit. If for any reason I am not able to meet the minimum requirement by race day I will be responsible for the difference which will be charged to my credit card on file.
Half Marathon
I understand that by participating in the Team SBH Disney Marathon I am committing myself to raise a donation minimum of $2,800 + $200 deposit. If for any reason I am not able to meet the minimum requirement by race day I will be responsible for the difference which will be charged to my credit card on file.
School Information
School Name:
*
Magen David
Flatbush
Hillel
Ramaz
Ilan
Other
Other School Name:
*
Grade:
*
Junior
Senior
Senior Captain
College
Other
Other Grade:
*
I understand that by participating in the Team SBH Disney Marathon I am committing myself to raise a donation minimum of $3,400 + $200 deposit. If for any reason I am not able to meet the minimum requirement by race day I will be responsible for the difference which will be charged to my credit card on file.
Referral Information
Name:
*
Phone:
*
Email:
*
Type:
*
Teacher
Rabbi
Therapist
Counselor
Coach
Other
Referral cannot be a parent, sibling, or friend.
Other Referral Type:
*
I understand that by participating in the Team SBH Disney Marathon I am committing myself to raise a donation minimum of $3,400 + $200 deposit. If for any reason I am not able to meet the minimum requirement by race day I will be responsible for the difference which will be charged to my credit card on file.
I understand that by participating in the Team SBH Disney Marathon I am committing myself to raise a donation minimum of $1,050 + $200 deposit. If for any reason I am not able to meet the minimum requirement by race day I will be responsible for the difference which will be charged to my credit card on file.
I understand that by participating in the Team SBH Disney Marathon I am committing myself to raise a donation minimum of $5,000 + $200 deposit. If for any reason I am not able to meet the minimum requirement by race day I will be responsible for the difference which will be charged to my credit card on file.
I am a non runner and would like to create a fundraising page with a goal of $3,600.
I understand that by participating in the Team SBH Disney Marathon I am committing myself to raise a donation minimum of $5,000 + $200 deposit. If for any reason I am not able to meet the minimum requirement by race day I will be responsible for the difference which will be charged to my credit card on file.
I understand that by participating in the Team SBH Disney Marathon I am committing myself to raise a donation minimum of $1,100 + $200 deposit. If for any reason I am not able to meet the minimum requirement by race day I will be responsible for the difference which will be charged to my credit card on file.
I understand that by participating in the Team SBH 5K Run I am committing myself to raise a donation minimum of $3,200 + $200 deposit. If for any reason I am not able to meet the minimum requirement by race day I will be responsible for the difference which will be charged to my credit card on file.
I understand that by participating in the Team SBH Disney Marathon I am committing myself to raise a donation minimum of $1,100 + $200 deposit. If for any reason I am not able to meet the minimum requirement by race day I will be responsible for the difference which will be charged to my credit card on file.
Parent Information
Parent Name:
*
Parent Phone:
*
Login Information
Choose your username and password. You will need it to view your web page, and see who has sponsored you for this event.
Username:
*
Password:
*
Re-Type Password:
*
Enter your promo code
Apply code
Billing Information
Same as Registration Information
First Name:
*
Last Name:
*
Billing Address:
*
City:
*
State:
*
Outside US & Canada
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Zip Code:
*
Country:
*
United States
Albania
Algeria
American Samoa
Andorra
Anguilla
Antigua
Argentina
Aruba
Australia
Austria
Azores
Bahamas
Bahrain
Bangladesh
Barbados
Barbuda
Belarus
Belgium
Belize
Benin
Bermuda
Bolivia
Bonaire
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Canary Islands
Cayman Islands
Central Africa
Chad
Channel Islands
Chile
China
Christmas Island
Cocos Islands
Colombia
Congo
Cook Islands
Costa Rica
Croatia
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Ecuador
Egypt
El Salvador
England
Equitorial Guinea
Eritrea
Estonia
Ethiopia
Faeroe Islands
Fiji
Finland
France
French Guiana
Gabon
Gambia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Holland
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Ireland
Islands
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Kosrae
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Madeira
Malawi
Malaysia
Maldives
Mali
Malta
Martinique
Mauritania
Mauritius
Mexico
Micronesia
Monaco
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nepal
Netherlands
Nevis
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Ireland
Norway
Oman
Pakistan
Palau
Panama
Paraguay
Peru
Philippines
Poland
Ponape
Portugal
Puerto Rico
Qatar
Reunion
Romania
Rota
Russia
Rwanda
Saba
Saipan
Saudi Arabia
Scotland
Senegal
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
South Africa
Spain
Sri Lanka
St. Barthelemy
St. Christopher
St. Croix
St. Eustatius
St. John
St. Kitts
St. Lucia
St. Maarten
St. Martin
St. Thomas
St. Vincent
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Tahiti
Taiwan
Tajikistan
Tanzania
Thailand
Tinian
Togo
Tonga
Tortola
Truk
Tunisia
Turkey
Tuvalu
Uganda
Ukraine
Union Island
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Gorda
Virgin Islands
Wake Island
Wales
Western Samoa
Yap
Yemen
Zaire
Zambia
Zimbabwe
Payment Details
In the event that you will not reach your fundraising goals, we will charge the card provided below for the difference.
I would like to pay the $
0
in full now.
I would like to pay the $
0
now, and the remaining $
0
in 3 monthly installments.
I authorize SBH to charge my card in 4 monthly installments, 25% each month, starting now.
Your card will be charged $
The deposit is a non-refundable registration fee and will be counted towards your sponsorship.
Card Type:
*
Visa
Mastercard
American Express
Card Number:
*
Exp. Month:
*
January
February
March
April
May
June
July
August
September
October
November
December
Exp. Year:
*
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
Security Code:
*
How Did You Hear About Us?
Additional Comments:
Waivers
SBH COMMUNITY SERVICE NETWORK, INC. PARTICIPATION AND WAIVER AGREEMENT (the "Agreement") for the SBH Disney Half-Marathon Weekend Held at Hilton Orlando in Orlando, FL on February 22 - February 26, 2024 (the "Event") 1. These Terms and Conditions Are Important. Please read the terms and conditions of this Participation and Waiver Agreement carefully; they impose legal obligations on you and on us, and establish our legal relationship. These legal obligations include a waiver of certain rights and indemnification obligations as set forth in Paragraph 7. If you do not agree to be legally bound by these terms and conditions, you may not participate in the event. By the terms "you", and "your" we refer to participants in the Event, as well as to a parent or guardian signing this agreement properly on behalf of an applicant who at the time of registration is under the age of 18. The terms "we", "us" and "SBH" refer to SBH Community Service Network, Inc. 2. Your Agreement. In order for your application to participate in the Event to be accepted, you will be required to signify your agreement to be legally bound by these terms and conditions by clicking a designated "I Accept" button on our registration page. You must click "I Accept" and thereby accept these terms and conditions, to participate in the Event. 3. Special Runner Obligations. You also agree to the following obligations if you will be participating as a runner (a "Runner") in the Princess Half Marathon (the "Run") at the Event: 3.1 You have consulted a physician of your own choice and have been advised by said physician that you are physically capable of participating in the Run. You do not suffer from any physical or mental condition, ailment or disability which requires any medical or surgical care or treatment, or which would make your travel and/or participation in the Run hazardous, unwise, unwarranted or a potential source of danger to you or to others who may travel with or participate in the Event. 3.2 Any and all equipment you may use to participate in the Run is in working condition. 3.3 You will observe applicable Run rules and will wear required equipment. 3.4 You understand that you may be removed from the Run and/or the Event if you do not follow the rules of the Event. 3.5 You consent to receive medical treatment which may be deemed advisable in the event of injury or illness during the Event. 3.6 You are expected to raise your committed to sponsorship level ($3000 or $5200 - includes a $200 deposit) in sponsorship donations to SBH. Runners will be provided a dedicated web page and all possible support from their captains and SBH staff, but the responsibility to raise their sponsorship is on each individual runner. To help that process we have created a series of milestone dates by which runners need to raise a percentage of their total sponsorship. Failure to reach those milestones can result in the forfeiture of your spot for the Run. 3.7 In the event that you will not be able to participate in Team SBH Disney Weekend 2024, the funds you raised will be non-refundable. However, they may be applied to another Team SBH Disney event subject to space availability. The determination of the applicable funds remains at the discretion of SBH management. 3.8 We have obtained a credit card on file which we will charge the monetary difference between your fundraising obligation and the amount raised ONLY; in the event that your fundraising obligation has not been met. 3.9 You must attend two mandatory team meetings prior to the Event. Each meeting will occur multiple times to accommodate different schedules. If you cannot attend any of the meeting options, you must contact your captain who will make alternate arrangements. 3.10 If you are under the age of 18 at the time of the event, you must submit an SBH parental waiver, a participation agreement and a medical form from your physician by Sunday, February 4, 2024. Failure to submit all forms by the designated deadline can result in the forfeiture of one's spot for the Event. 3.11 The Event will start on Thursday evening 02/22/2024 and you will be returning on 02/26/2024 early morning. You will be excused from your school for Friday 02/23/2024 for the Event. You are not excused from school on Monday 02/26/2024 following your return from Disney Half- Marathon Weekend, and will be penalized by your school for failure to attend on such days. 3.12 You must make your best effort to properly train for the Run. Team SBH will provide training opportunities and guidance, but it is your responsibility to take advantage of those opportunities. 4. Code of Conduct. You agree to abide by the following rules: 4.1 No drugs, alcohol or smoking of any kind will be tolerated during the event or on transportation to and from the Event. 4.2 We will be checking your personal belongings before and possibly after you board the bus and/or flight. 4.3 You are expected to generally behave in a way consistent with SBH values. 4.4 In addition, Runners (i) are expected to attend minyan and other programs throughout the Event in a timely manner, (ii) are expected to respect your fellow team members and their property, and (iii) at no time are allowed in the rooms of the opposite gender. 4.5 No form of bullying, verbal or physical, will result in being sent home at your parents' expense. 4.6 You may NOT leave the premises of the hotel at any time without appropriate consent from deemed SBH staff. If you do leave the premises it will be at your own risk and we will no longer be responsible to supervise you. 5. Enforcement of Your Obligations. You may be asked to leave the Event if you do not comply with your obligations under this agreement. In addition, the following may apply to participants for their failure to comply with their obligations: 5.1 We will send you home at your parents' expense. 5.2 Your parents and school will be notified of your inappropriate behavior. 5.3 You will be banned from future Team SBH events. 6. Loss or Damage Due to Services or Facilities. We shall not be liable or responsible for any loss or damage which you may sustain to your person or property, or for any loss or damage by reason of any delay, modification, curtailment or arrangement pertaining to the bus rides, flights, services or facilities in connection with your participation in the Event. It is understood and agreed that we assume no responsibility whatsoever, and shall not be held responsible for the operation and management of any of the transportation lines, airlines, services or facilities which may be employed in connection with the Event or for any damage or claim arising there from or in connection therewith. 7. Waiver, Indemnification and Hold Harmless. 7.1 You acknowledge that the certain of the Event activities, including, but not limited to, running a Half Marathon Run, social congregating and travel including flights and ground transportation may be subject to certain hazards; and further that you are voluntarily participating in the Event and these activities, and understand the dangers and risks involved. You hereby agree to accept any and all risks associated with participating in the Event. You hereby release and forever discharge SBH and its agents, officers, volunteers, participants, employees, sponsors, and representatives, as well as their successor and assigns (the "Releasees") from any and all liability, claims, and causes in action, which arise or may hereafter arise or are in any way connected to your involvement in the Event. You understand that this Agreement discharges Releasees from any liability or claim that you may have against Releasees with respect to any bodily injury, personal injury, psychological injury, illness, death, or property damage that may result from your involvement in the Event, whether caused by the negligence of Releasees, or otherwise. 7.2 You understand that Releasees do not assume any responsibility for or obligation to provide financial assistance or other assistance in the event of injury or illness, including in the case of special transportation or extended stay needs. 7.3 You also agree to indemnify and hold harmless Releasees from any liability, claims, and causes in action, which are in any way connected to your involvement in the Event, or use of Releasees facilities or equipment, including any such claims which allege negligent acts or omissions of Releasees. 8. Photographic Release. You hereby grant and convey unto SBH all right, title and interest in any and all photographic images, video or audio recordings made by SBH or its agents during the Event, including but not limited to royalties, proceeds, or other benefits derived. You authorize SBH to use such images, words, and likenesses for marketing, on websites, social media, in brochures or other writings and any for any other legitimate purpose. 9. Interpretation and Governing Law. This document shall be construed broadly to provide a release and waiver to the maximum extent permitted under New York law. If any portion of this document shall be held as invalid it is agreed that the balance shall continue to be in full force and effect. This document shall be governed by the laws of the State of New York. Venue for any legal action shall be in the state or federal courts of New York County or Southern District of New York as applicable. 10. Effect of Acceptance. You agree that by clicking "I Accept" on this webpage and/or electronically signing this agreement- you thereby acknowledge that you have read and understand this waiver and permission agreement and agree to be bound by its terms and conditions. 11. If You Are Under 18. If you are under the age of 18 when signing this Waiver and Agreement, your parent or legal guardian must also sign this Participation and Waiver Agreement. PARENT OR GUARDIAN ACKNOWLEDGMENT. As the parent or legal guardian of the applicant, I certify as follows: (i) I am the parent or legal guardian of the Event participant, (ii) I acknowledge and represent that I have read this Agreement, understand it and sign it voluntarily; (iii) no representations or inducements, apart from this Agreement, have been made; and (iv) as such, on behalf of myself and the Event participant, I agree to the terms of this Participation and Waiver Agreement, including the release of the Releasees from all liabilities as set forth above and the obligation to indemnify and hold harmless SBH from all liabilities in connection with the Event participant's participation in the Event. IN SIGNING THIS AGREEMENT, AND I EXECUTE THIS RELEASE FULLY INTENDING TO BE BOUND BY IT.
I
accept the above waiver and acknowledge and understand that in order for to participate in Team SBH Disney Marathon, I must provide this waiver.
I
accept the above waiver for my child
and acknowledge and understand that in order for to participate in Team SBH Disney Marathon, I must provide this waiver.
Parent Signature
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Only enter this field if you were told to do so by a staff member.
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