Volunteer Information

Falmouth Road Race

Team Samaritans 2024 Application

Thank you so much for your interest in running the 2024 Falmouth Road Race and raising funds for The Samaritans on Cape Cod and the Islands!

Please fill out the information requested below. Applications will be reviewed and accepted on a rolling basis. If you have any questions, please reach out to [email protected]

* Required Fields

Runner Information

First Name

Last Name

Address

Address 2

City

State/Province

Zip/Postal Code

Phone

Date of Birth
(mm/dd/yyyy)

Preferred Pronouns

Employer/School

Occupation

How did you hear about us?

Running and Fundraising Experience

Please tell us about any previous fundraising experience:

Have you ever run the Falmouth Road Race?

YesNo

* Have you ever run the Falmouth Road Race? is required.

The minimum fundraising requirement for participation as a runner for Team Samaritans is $1,650.00. What is the fundraising goal you are willing to commit to?

How do you plan to meet your fundraising goal?

Does your employer offer matching donations?

YesNo

* Does your employer offer matching donations? is required.

What motivates you to run for Team Samaritans? Do you have a personal connection to our mission? If so, please tell us about your connection (provide only information you are comfortable sharing).