* You are registering as an Ambulatory Athlete with Disability. This program is for runners (ambulatory) who have a physical, intellectual or vision impairment and participate “on foot,” including runners who use prosthesis or running blades. If you do not wish to participate in this event as an Ambulatory AWD, please modify your Participation Type at the top of the form.

Additional Information

I am Participating as an Ambulatory Athlete with Disability I am Participating as an Ambulatory Athlete with Disability

* You are registering as a Pushrim Athlete. This program is for runners who have a physical impairment and who use a pushrim wheelchair or a daychair with a FreeWheelTM attachment to participate. If you do not wish to participate in this event as a Pushrim Athlete, please modify your Participation Type at the top of the form.

Additional Information

I am Participating as a Pushrim Athlete I am Participating as a Pushrim Athlete

* You are registering as a Handcycle Athlete. Participation using a handcycle provides an alternate means of participation for runners who, due to the nature of their physical impairment, are not able to use a racing wheelchair or run with prosthesis. Handcycles with motors or pedals are not permitted. No additional gear-, crank-, or chain-powered cycling equipment may be used by participants, including foot-powered recumbent bikes, tricycles or bicycles. If you do not wish to participate in this event as a Handcycle Athlete, please modify your Participation Type at the top of the form.

Additional Information

I am Participating as a Handcycle Athlete I am Participating as a Handcycle Athlete

* You selected Athlete with Disability (AWD) as your participation type and may request an accommodation to participate that is not listed in the Participation Type dropdown above. If you do not need an accommodation to participate, please modify your Participation Type at the top of the form.

Additional Information

I am and Athlete with a Disability and I would like to request an Accommodation for my Participation Type I am and Athlete with a Disability and I would like to request an Accommodation for my Participation Type

* Please Provide Details on your Requested Accommodation Requirement as an AWD Participant. Please Note that NYRR will review your request and be in contact with you shortly on the status of your registration and accommodation.

* I have read and agree to the NYRR Rules of Competition

RULES OF COMPETITION

* I have read and agree to the NYRR Code of Conduct

CODE OF CONDUCT

* We provide reasonable accommodations to individuals with disabilities in order to ensure that they can participate in our events and programs. Would you like to request a reasonable accommodation to participate in this event?

NYRR Reasonable Accommodation Request Information

Yes

No

* Please Provide Details on your Accommodation request. NYRR may be in contact with you regarding your accommodation following your registration.

* Will you require a guide or support runner (this includes guidance or support from an adult parent/guardian) for this event?

NYRR Information on Guide or Support Runners

Yes

No