Gold Star Race Program Application

2019 Rock'n'Roll Seattle Gold Star Race Program

Ten Gold Star athletes will be selected to participate in our 2019 Rock'n'Roll Seattle Gold Star Race Program. Apply using the form below. 

Training for and running in a marathon requires dedication, discipline, determination and patience. We are seeking Gold Star participants who will grow from the experience. We also seek athletes who will be committed to putting in the required time and energy to run a marathon in honor of their fallen loved one. Please consider carefully whether you are willing to give completely of your time and effort if you are selected for our Gold Star Race Program.

Name *
Address *
Phone *
Your Date of Birth *
Your Date of Birth
Date of Death *
Date of Death
Tell us more about your experience with running and your goals for this marathon:
How long have you been running? *
How many miles a week do you run? *
What is the longest race you have run in the past year? *
Fitness & Training
What is your current fitness level? *
About you
Some final details:
What is your running shirt size? *
TERMS AND CONDITIONS: For considering my entry's acceptance in the wear blue: run to remember Gold Star Race Program (GSRP), I the undersigned, intending to be legally bound, waive and release for myself, my heirs, executor and administrators, any and all rights and claims for damages, demands and any other actions, which I may have against wear blue: run to remember, its Board of Directors, its Gold Star Race Program Director, its Director of Training, its volunteers on the wear blue Mile, volunteer medical support, all participating supporting individuals and agencies and those entities' representatives, successors and assignees, from my participation in the event, including any and all injuries suffered by me because of my participation in this event. I verify I have full knowledge of the rigors of training for and running a marathon and the risk involved in participation, including but not limited to trip and fall, loss of orientation, exhaustion, dehydration, hyponatremia, fatigue, over-exertion, sun or heat stroke, cold injuries, hypothermia and any other injuries related to running and/or endurance events. I assert that I am physically fit and have sufficiently trained to complete this event. I hereby grant my permission to wear blue: run to remember to use all information submitted in my application, and any photograph, videotape, motion pictures, recording and any other record of this event including race results, my likeness, name and completion time for any lawful purpose related to the race and post-race publicity. I grant, release and discharge certain rights arising from my appearance, or the appearance of an infant or minor child for whom I execute custody, in any picture, video, advertisement or other recording or presentation as a result of my participation in the GSRP. I hereby grant and release to wear blue: run to remember the right to use my name, likeness and personal information, or that of said infant or minor child, in any manner, and to photograph, videotape, make motion pictures, recordings or any other record; to reproduce, duplicate, publish, exhibit, use or transmit the same or any parts thereof, by any means, in any manner and for any purpose whatsoever; and to do the same perpetually. This voluntary grant and release will not be made the basis of a future claim of any kind against wear blue: run to remember. wear blue: run to remember reserves the right to reject any entry. Athlete acknowledges and agrees that race event may be delayed or cancelled if the conditions on race day are unsafe. In the even that the Event is delayed or cancelled for any reason, including but not limited to: fire, threatened or actual strike, labor difficulty, work stoppage, insurrection, war, public disaster, flood, unavoidable casualty, acts of God or the elements, or any other cause, there shall be no refund of any costs of Athlete in connection with the Event. In the event that I decide to not participate in the marathon, I understand and acknowledge that wear blue: run to remember reserves the right to seek reimbursement from me for the costs of athletic footwear or apparel, travel costs, race registration fees and other costs or fees it may have incurred as part of my agreement to participate in the event.

I have read and accept these terms and conditions.

Please submit a high resolution photo of your loved one and a high resolution photo of you with your loved one.