REGISTRATION FORM
PRIDE OF CANADA MARATHON
ENTRIES RECEIVED BY SEPTEMBER 1st:
MARATHON $______ HALF MARATHON $______
ENTRIES RECEIVED AFTER SEPTEMBER 1st UP TO SEPTEMBER 8th: (Late Entries)
NO SHIRT AVAILABLE FOR ENTRIES RECEIVED AFTER SEPT 1st
MARATHON $______ HALF MARATHON $______
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NAME: __________________________________________
O.R.A.or O.F.T.A. # __________
ADDRESS: _______________________________________
CITY:_______________________________________
PROVINCE OR STATE: _____________________________
POSTAL CODE OR ZIP: ______________
PHONE: ____________________
SEX: MALE ____ FEMALE _____
AGE AS OF AUGUST 31, 2007 ____
$12 to purchase a short sleeve t-shirt circle size S, M, L, XL $12 x ___ = _______
Spaghetti supper $5 before Sept 1st., $8 after Sept 1st., All guests $8 x ___ = _______
TOTAL OF ALL FEES= _______
Please sign your cheque payable to Pride of Canada Marathon.
Mail to: Pride of Canada Marathon
1938 Home Avenue
Thunder Bay, ON
Canada P7E
3C4 gary@prideofcanadamarathon.com
WAIVER:
To participate in this event, I accept all rules and regulations of the
governing body and the event I am entering and will comply fully with them. I am
aware that a run of the distance and conditions I am entering may be extremely
difficult and hazardous even for well-conditioned athletes under the most
favorable conditions. I am also aware of the risks of adverse weather on the day
of my participation. I
understand I should not participate in this event unless: 1) I am in excellent
physical condition,2) I have trained adequately for this event, and 3) I have no
medical condition that might be worsened by vigorous activity. Knowing these
facts, and in consideration of your accepting this entry, I hereby for myself,
my heirs, executors and administrators waive, release and discharge the Race
Director, staff, agents, officials, volunteers, sponsors, the Ontario
Roadrunners Association, the Ontario Track & Field Association, or any other
person involved in this event, from any and all claims of liability, for death
or any and all injuries to me or to my property arising out of, or in connection
with, this event and covenant not to sue for damages with respect thereto. This
release extends to all claims of every kind and nature whether foreseen or
unforeseen, known or unknown. I declare that I am physically fit and
sufficiently trained to participate in this event and assume all risks
associated with such participation. I hereby grant my permission to the race
organizers to use my name and any photographs, digital images, videotapes,
recordings, or any record of my participation in this event for race publicity
or awards purposes.
SIGNATURE :_______________ DATE _______ (GUARDIAN sign for under 18 entrant)