www.runforthetoad.com
Event Date:  September 29, 2012
Event Location:  Pinehurst Lake Conservation Area, Paris, ON
Time:  9:00a.m Opening Ceremonies
 9:30a.m Race Starts
Distances:  25K Run or Walk and 50K Run
Event Contact Info:   Phone 519-576-1824   EMAIL sarson@toadpatrol.com

Online registration will close at 6pm on August 13, 2012 or when the limit of "1400" entries has been reached


Registration Instructions
  1. Enter the required information below.
  2. Confirm the information you entered and get total to be charged.
  3. Enter your credit card information.
  4. Transaction is processed and a receipt is emailed to the address you supplied.
  5. Check the online confirmation list. If there are any questions about your online registration please contact us at toad@onlineregistrations.ca.

All fees non-refundable and non-transferable.
Required information is marked with a red asterisk (*).

Your registration fee for the Toad includes:
Registration Gift
Catered Gourmet Lunch
Finishing Medal
Entrance fee into Pinehurst
Expo Opportunity

Choose your event Event Entry Fee
25km Run $83.00
25km Walk (No Running) $83.00
50km Run $85.00
NEW THIS YEAR:  50K Relay Team (Limit 20 Teams)
50km Relay Team
(4 person team/each person will run a 12.5k distance)		 $320.00

* A transaction fee will be applied.

Please Note: The Walking Category will be limited to 130 Race Participants 

Please Note: Participants Serving in the Canadian Forces will be eligible to win the Canadian Forces Awards in both the 25k run or walk and the 50k events.

Please Note:  One team member will be responsible for the team we do not need the other team member names.  The person registering for the team will sign the online waiver for all team members. 

Check the Box if you are an active Member of the Canadian Forces

Enter Your Personal Information
Team Name(for teams only):
*First Name:
*Last Name:
*Email Address:
*Phone (+ area code): ()-
*Date of birth:
*Age on Race Day:
*Gender: female        male
*Street:
*City:
*Prov./State:
*Postal/Zip Code:
ORA/OTFA Number:
How many years have you
ran or walked the Toad:
Would you like to donate an additional $5.00 for the improvement to the trails at Pinehurst Lake Conservation Area: 
yes        no
Registration Fee includes one Meal for Race Participant, if you needs additional meal tickets please mention below
Extra Adult Meal Tickets: x $22.00
Child Meal Tickets: x $11.00
Release Waiver and Indemnity

IN CONSIDERATION of the acceptance of my application and the permission to participate as an entrant or competitor in the 2012 Run for the Toad, I, for myself, my heirs, executors, administrators, successors and assigns HEREBY RELEASE, WAIVE AND FOREVER DISCHARGE Pinehurst Lake Conservation Area Authorities, Grand River Conservation Authority, Online Registrations, Peggy Sarson, George Sarson, Ontario Road Runners Association and the Ontario Track and Field Association, and all other associations, sanctioning bodies and sponsoring companies, and all their respective agents, officials, servants, contractors, representatives, 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 or my participation in the said event, whether as a spectator participant, competition or otherwise, whether prior to, during or subsequent to the event NOTWITHSTANDING that same may have been contributed to or occasioned by the negligence of any of the aforesaid.
I FURTHER HEREBY UNDERTAKE to HOLD AND SAVE HARMLESS AND AGREE TO INDEMNIFY all 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 AGREED to the above WAIVER, RELEASE AND INDEMNITY, I WARRANT that I am physically fit to participate in this event.

I ATTEST AND VERIFY THAT I AM 18 YEARS OF AGE OR THAT I AM SIGNING AS THE LEGAL GUARDIAN ON BEHALF OF AN EVENT PARTICIPANT UNDER THE AGE OF 18 YEARS

Agreeing to this waiver and registering online for this race by me, for myself or as legal guardian of an event participant, in an electronic format authorizes you to accept this waiver as signed by me.

I have read and agree to the waiver.

Parents name if under 18 years of age

 
 

Registrations Processed by OR