Shared Miles Initiative: Race Entry Fee Request & Information Form

Mailing Address:
Northeast Runners Alliance
PO Box 9546
Portland, ME 04112
Attn: Mari Balow

Name *

First

Last

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Please tell us a little about yourself, and why you’d like our help: *

NeRA offers assistance with race entry fees to community members in need. Are there other running-specific items you need assistance with (shoes, clothing, or other gear)? *

Which race are you requesting entry fee assistance? *

Please note: We can only cover up to $150.00 of race registration fees.

Would you be interested in connecting with a local running group in your area, or finding people to train with?

Where or how did you hear about us?

Please note: Information provided will be used solely by NeRA for the administration of the Shared Miles program, and will not be shared with entities other than event administrators (for purposes of entry) and will not be retained after determination of award. Funds are awarded solely at the discretion of the NeRA Board, and paid directly to the event organizers on the applicants behalf.