2014/2015 Commitment Form

2015 Walt Disney World

Please circle one: Half Marathon or Marathon or Goofy Challenge (additional $300)

Name:______

Address:______

City:______State:______Zip:______Email ______

As a member of the Joints in Motion Training Team, I will receive personalized training, team apparel, race entry and double occupancy hotel accommodations as determined by my Fundraising Goal. In exchange, I am committed to raising funds to support arthritis research, quality of life programs and services. The Arthritis Foundation will provide me with online support and fundraising assistance to help me reach my goal. I understand that the following deadlines must be met in order to train and participate in the athletic event. Contributions must be received by the Arthritis Foundation by each of the deadlines below.

Walt Disney World - $2,700 Goal / $3,000 Goal (for Goofy)

▪$100 initial deposit at sign up

▪Additional $700 ($100) by Sept. 15, 2014

▪Additional $700 ($100) by Oct. 15, 2014

▪Additional $600 ($100) by Nov. 15, 2014

▪Remaining $600 by Dec. 15, 2014

Full amount of $2,700 ($3,000) is due by

Dec. 15, 2014. NO EXCEPTIONS

.

As shown above, there is one overall fundraising goal and several fundraising deadlines. Because of the need to secure and pay for hotel arrangements, marathon entry fees etc. participants are required to submit the required fundraising amount by each of the designated deadlines. If you have not raised the required amount by the deadlines, you may:

·  Pay the balance needed to reach your goal by check or credit card. You will then have one month after the marathon to complete your fundraising and request by that date in writing a refund from the Arthritis Foundation. The Arthritis Foundation will not issue refunds after this date.

All donations to the Arthritis Foundation are non-refundable and non-transferable and remain with the Arthritis Foundation even if you do not complete the program.

I have reviewed all Joints in Motion information provided and agree to the Commitment form and Participant Agreement.

Signature Printed Name Date

Please Return This Completed Form (save a copy for your records) with your $100 deposit to:

The Arthritis Foundation, 1007 Coronado Drive, Gulf Breeze, FL 32563

or or fax to: (850) 932-9125