BOSTON MARATHON TEAM
TEAM WITH A VISION
Application & Information - Invitational Waiver

Please fill out the entire application, including all of Part I, II, and III. We will consider only fully completed applications.

Applications are now being accepted from runners who will be at least 18 years of age on April 17, 2017. Please complete the application online or download and complete and return it to the address below.

We want you! By running the Boston Marathon with Team With A Vision you will be making an important impact on the lives of those who are blind or visually impaired. Our team is made up of athletes with sight and athletes who are blind and visually impaired. Team With A Vision supports the Massachusetts Association for the Blind & Visually Impaired (MABVI), an organization founded in 1903 with the help of a young Helen Keller. Our team is unique. We are made up of Boston Qualifying athletes in the Blind and Visually Impaired division and their sighted guides, many of whom place in the top three at the Boston Marathon Awards Ceremony. This is a chance to not only run and raise much needed funds but to be part of a movement of inclusion, personal achievement, and incredible success. You will be helping to change the lives of those who are blind or visually impaired while expanding the way you and your community see and experience those with different abilities.

Team With A Vision doesn't just raise money for the Massachusetts Association for the Blind & Visually Impaired; we raise awareness of the capabilities of all athletes with disabilities. The money we all raise is used for vision rehabilitation, local support groups, and 1:1 volunteer matches we provide for blind and visually impaired individuals across Massachusetts. The money we raise will help individuals of all ages who are blind or visually impaired to live a healthier lifestyle.

MISSION STATEMENT

Eliminating barriers, creating opportunities, and offering support for independent living is the mission of the Massachusetts Association for the Blind & Visually Impaired. Our experience allows us to forge strong community partnerships so that we can meet the pressing need for high quality services and programs for adults with vision loss throughout Massachusetts.

Founded in 1903 as the Massachusetts Association for Promoting the Interests of Adult Blind, MAB was the first social agency in the United States dedicated to serving individuals who are blind or visually impaired. Helen Keller was on our first advisory board, along with other notable Bostonians. Today the Massachusetts Association for the Blind & Visually Impaired (MABVI) serves adults and elders who are blind or visually impaired. Our vision rehabilitation services help people with low vision maximize their remaining sight and learn to use adaptive strategies for completing daily tasks. Our network of volunteers helps their matches with everyday tasks from reading mailing to strategizing tech solutions.

TEAM WITH A VISION

"MABVI is incredible and I learned first-hand what an amazing group of people all work together to help those with vision impairments live an independent life. Everyone I met was so inspiring!!! The community is very fortunate to have you and your team of wonderful people!!" – Lisa Smith, 2016 Fundraising Runner who ran alongside Visually Impaired Athlete Brian Switzer

Team With A Vision is not just a charity team. We are a running program of athletes who are blind or visually impaired, their guides, and those running with the invitational waivers. Our team comes from the Boston area, and stretches across North America and Europe. For the past 3 years we've averaged 20 athletes who are blind and visually impaired, sighted guides, other Boston Qualifying Athletes, and those running with invitational waivers.

Team With A Vision has created a marathon weekend full of festivities for all of our runners. We are well-known in the running community for pairing athletes with sighted guides and for assisting all runners on race day. Transportation is provided all weekend long, including pickups and drop-offs for athletes and guides, transport to and from designated weekend events, and critical transitions during the race for guides. We assist with marathon weekend accommodations, host team dinners and activities, and a Sunday brunch that creates an incredible team-building atmosphere. The morning of the race, transportation is provided for athletes to the Hopkinton Vision Center. This private business is right around the corner from the start line and is the perfect spot to relax, eat, and gather before entering the corrals. This high level of logistical support creates a strong sense of camaraderie, spirit, and community for our team.

With the Right Support Anything is Possible
We want caring, dedicated, strong, and connected runners to help us fulfill our mission.

Our focus is on those we serve: from an individual first experiencing vision loss, to an elder learning new strategies to remain independent, to a young athlete running in his or her first race supported by a guide. Creating opportunities moves us to strengthen existing relationships and build new ones. Imagine what could be done for those who are blind or visually impaired if we work together. We want you on our team.

Our Team With A Vision runners will receive:

  • Personalized Fundraising Plan, tips, resources, and one-on-one assistance
  • Training support from our team coach
  • Informative team meetings and newsletters
  • Marathon weekend festivities
  • Commemorative team apparel
  • Unsurpassed camaraderie and volunteer support

"Everyone, including MABVI, my running and training guides, and dedicated volunteers, my homestay host family, and my own family made my Boston Marathon." ~ Visually Impaired Athlete Maria Guzman

 

APPLICATION PROCESS

Applications are now being accepted from runners who will be at least 18 years of age on April 17, 2017. Please complete the application online or download and complete and return it to:

Andrea Croak
MAB Community Services
200 Ivy Street
Brookline, MA 02446

Or

acroak@mabcommunity.org

MABVI Marathon Team members will receive a pre-approved Boston Marathon application, a training program, a schedule of Team runs and activities, race uniform and fundraising materials.

FUNDRAISING REQUIREMENTS

Runners using invitational waivers from MABVI must meet the minimum fundraising commitment of $7,500 prior to June 1, 2017. You do have the option to charge any or this entire amount to your credit card. Additionally, runners will be responsible for the BAA fees of $355.00 associated with their pre-approved race registration.

Please remember, $7,500 is only a minimum. The dedication and energy of the Team With A Vision helps ensure that MABVI can provide quality programs and services to individuals with disabilities empowering them to participate fully in the community.

Please type your initials in all CAPS and click Next to begin the application.
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Contact Information

First Name(*)
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Last Name(*)
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Initial(*)
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Street Address(*)
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Apt./Suite/Floor Number
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City(*)
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State(*)
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Zip Code(*)
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Cell Phone(*)
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Evening Phone(*)
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Email(*)
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Date of Birth(*)
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Age on 4/17/17(*)
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Emergency Contact(*)
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Relationship(*)
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Phone Number(*)
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Why Team With a Vision

I would like to run for MABVI’s Team With A Vision because
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I would like to run in honor of someone and want to share something about them. I have permission to share this information
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Short Bio (please include any information that you would like to share about yourself)

Fun facts/hobbies
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How/why you started running
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In what ways are you involved with the community
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What is your favorite activity when not running?
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What motivates you to run / Why do you run?
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Do you have a quote that guides, inspires, or embodies your training/racing/life?
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Where is your favorite place to run?
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Best run ever/best race ever/toughest race and why?
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Charity History

Have you ever run for a charity before?(*)
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If yes, describe your experience and the amount that you’ve raised in that specific event(*)
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In what ways will you fundraise for the Massachusetts Association for the Blind and Visually Impaired’s Team With A Vision
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What is your personal fundraising goal for MABVI’s Team With A Vision 2017 Boston Marathon (numbers only)(*)
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Place of Employment
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Does your employer offer a matching program?
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Networks, Boards, Community Connection that would be of interest
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Potential Donors, groups to engage, family members: (offer details)
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Primary appeal to potential donors (what will I say to them)
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Marathon History

I am a former Team With A Vision member(*)
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# of Years (including this year)(*)
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Uniform Size T-Shirt/Singlet(*)
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Number of Marathons completed
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Best Previous Marathon
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Anticipated Boston Marathon 2017 finishing time (this is just an estimate)(*)
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I am a visually impaired runner(*)
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Guide's Name(*)
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Street Address(*)
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Apt./Suite/Floor Number
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City(*)
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State(*)
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Zip Code(*)
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Telephone(*)
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Email(*)
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Guide Uniform Size T-Shirt/Singlet(*)
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PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING

Waiver: I agree to assume all risk and responsibility of damage or injury that may occur to me as a participant in this event. In consideration of your accepting this entry, I here-by for myself, my heirs, assigns, executors and administrators, release and discharge any and all sponsors of the Team With A Vision including, but not limited to, the Boston Athletic Association, MAB Community Services, the Commonwealth of Massachusetts, and all cities or towns in which the race is contested, their representatives, successors and assigns for any and all injuries suffered by me, including death, in said event. I further attest and certify that I am physically fit and have sufficiently trained for the distance I am running. I also grant permission for my name/photo to be used in any broadcast or print media, or any other review of this event. I understand that I will be responsible for the standard cost associated with the BAA application.

Runners representing MABVI as a Team With A Vision member will comply with terms and conditions set by the Boston Athletic Association including, but not restricted to the following: they will not begin the race prior to the official start time; they will not compete in a manner which, in the judgment of race officials, interferes with race operations or other participants; they will not reproduce or transfer their bib number or number card provided by the Boston Athletic Association; any conflicts will result in disqualification of the runner, and review of the organization's standing for participation in future charity programs.

Accountability: MABVI and its Team With A Vision are participating in the Boston Marathon for fundraising purposes. This event plays a significant role in our ability to serve individuals who are blind or visually impaired throughout Massachusetts and the country, and each invitational waiver represents funds critical to our work. Once you have filled out and signed the Boston Marathon invitational waiver, it cannot be transferred to other runners or reproduced. Injury or other circumstances that might preclude you from participation in or completion of the 2017 Boston Marathon does not waive your $7,500 fundraising commitment to MABVI. Therefore, in consideration of accepting an invitational waiver from MABVI, you agree to collect and/or donate a minimum of $7,500 by June 1, 2017 and will be held responsible for the entire amount to participate in the Boston Marathon through MABVI's Team With A Vision. All funds collected through donations, sponsorships, matching gifts programs or through your own donations, will be allocated to MABVI.

I have read and understand the foregoing liability waiver and fundraising agreement

PART III

Credit Card Usage: I acknowledge and understand that I am responsible for the full $7,500 fundraising requirement and I allow the use of my credit card to be billed for the remaining balance if my fundraising minimum is not met by the deadline of June 1, 2017. MAB Community Services will keep credit card information strictly confidential. After your application is submitted, a Team With A Vision representative will be in touch with you regarding your credit card information.

Signature - Please Type Your Full Name in all CAPS(*)
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