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Elite Hosting Application Form for Banque Scotia 21k de Montréal and Canadian Half-Marathon Championships, Toronto Yonge Street 10k

For other CRS events, please see list of elite application forms here.

Elite athletes will be considered for complimentary entry and other support for CRS core events. Please use the following form to submit your information, no later Monday, February 27, 2012.

* = required field

*Race applied for:


For other CRS events please see list of forms here.

*First Name:

*Last Name:

*Email address:

*Date of birth (mm-dd-yy):

*Gender:

Male  Female

*Address:

*City:

*Prov/State:

*Postal Code:

*Country:

*Daytime Phone:

include area code

*Evening Phone:

include area code
 

*Citizenship:

*Status:


 

*Are you a member of Athletics Canada?

Yes  No
 

*Shirt size:


 

*Personal best times
(include race name & year):






 

*Recent performances
& career highlights:






 
By checking this tick box, I indicate my ACCEPTANCE OF THE RELEASE WAIVER AND INDEMNITY BELOW

Banque Scotia 21k de Montréal:

In consideration of the acceptance of my application and the permission to participate as an entrant or competitor in the Banque Scotia 21k de Montreal and 5k on April 29th, 2012, and any other pre and post-race activities, I for myself, my heirs, executors, administrators, successors, and assigns HEREBY RELEASE, WAIVE and FOREVER DISCHARGE the Ville de Montreal and Parc Jean-Drapeau, Athletics Canada, Fédération québecoise d'athlétisme, Canada Running Series Inc. (1399662 Ontario Inc.), ASICS CANADA, Boutique Endurance and all other associations, sanctioning bodies and sponsoring companies, and elected and appointed officials, successors and assigns, of AND FROM claims, demands, damages, costs, expenses, actions and causes of action, whether in law or equity, in respect of death, injury, loss or damage to my person or property HOWSOEVER CAUSED, arising or to arise by reason of my participation in the said event, whether as a spectator, participant, competitor or otherwise, whether prior to, during or subsequent to the event AND NOTWITHSTANDING that same may have contributed to or occasioned by the negligence of the aforesaid.

I hereby agree to periodic mailings, both electronic and physical from Canada Running Series Inc. and to allow the use of any photographs taken of me in the run by the organizers for future event promotional purposes. Such photos not to be used for any other commercial or re-sale purposes.

I FURTHER HEREBY UNDERTAKE TO HOLD AND SAFE HARMLESS AND AGREE TO INDEMNIFY all of the aforesaid from and against any and all liability incurred by any or all of them arising as a result of, or in any way connected with, my participation in the said event.

BY SUBMITTING THIS ENTRY, I ACKNOWLEDGE HAVING READ, UNDERSTOOD, AND AGREE TO THE ABOVE RELEASE, WAIVER AND INDEMNITY. I WARRANT that I am physically fit to participate in this event.

 

Toronto Yonge Street 10k:

In consideration of the acceptance of my application and the permission to participate as an entrant or competitor in the Toronto Yonge Street 10k on Sunday, April 22, 2012, I hereby state I have conditioned myself to participate in the event(s) I have chosen. I, for myself, my heirs, executors, administrators, successors, and assigns HEREBY RELEASE, WAIVE, AND FOREVER DISCHARGE The City of Toronto, The Toronto Police Services Board, The Toronto Police Service, The Members of the Toronto Police Service Auxiliary Program, The Chief of Police, The Toronto Transit Commission, Race Officials and Volunteers, Athletics Canada, OTFA, 1399662 Ontario Inc (Canada Running Series Inc.)), New Balance Inc., Canadian Ski Patrol and its members, A. Lassonde Inc. and all other associations, sanctioning bodies and sponsoring companies, and elected and appointed officials, successors and assigns, OF AND FROM ALL claims, demands, damages, costs, expenses, actions and causes of action, whether in law or equity, in respect of death, injury, loss or damage to my person or property HOWSOEVER CAUSED, arising or to arise by reason of my participation in the said event, whether as spectator, participant, competitor, or otherwise, whether prior to, during or subsequent to the event, AND NOTWITHSTANDING that same may have been contributed to or occasioned by the negligence of the aforesaid. I FURTHER HEREBY UNDERTAKE TO HOLD AND SAFE HARMLESS AND AGREE TO INDEMIFY all of the aforesaid from and against any and all liability incurred by any or all of them arising as a result of, or in any way connected with my participation in the said event. I hereby agree to periodic mailings, both electronic and physical from the Canada Running Series, and to allow the use of any photographs taken of me in the run, by the organizers for future event promotional purposes. Such photos not to be used for any other commercial or re-sale purposes. BY SUBMITTING THIS ENTRY, I ACKNOWLEDGE HAVING READ, UNDERSTOOD, AND AGREE TO THE ABOVE WAIVER, RELEASE and INDEMITY. I WARRANT that I am physically fit to participate in this event.

 

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