Valentine's 5km Road race

Event Date: February 12, 2012
Event Location: Port Dalhousie Lions Hall, St. Catharines, ON
Start Time: 12.00 Noon
Event Contact Info:  Website www.welovetorun.com   Phone (905) 938-0459   EMAIL smitty35@live.ca

Online registration will close at 6pm on Feb. 10, 2012

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 valentinesday@onlineregistrations.ca.

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

Choose your event Event Race Fee
Run $35
Walk $35
* A transaction fee will be applied.
Enter Your Personal Information
*First Name:
*Last Name:
*Email Address: (your receipt will be emailed to this address)
*Phone (+ area code): ( )-
*Gender: female        male
*Age on Race Day:
*Street:
*City:
*Prov./State:
*Postal/Zip Code:
*Shirt Size: S   M   L   XL
 
Release Waiver and Indemnity

In consideration of my entry, I do hereby, for myself, my heirs, executors and administration waive, release and forever discharge any and all rights and claims for damages which I may have or which may hereafter accrue to me against the St. Catharines Roadrunners and Walkers Club, The City of St. Catharines, the sponsors of this event or their respective officers, directors, agents, representatives, successors, and/or assigns for any and all damages which may be sustained and suffered by me in connection with my said association with or entry in and/or arising out of my traveling to, participating in and returning from said athletic meet including any claims arising from my negligence. I have read the above statement, I understand it, and my signature confirms its full acceptance. I attest that I have full knowledge of, and assume the risks involved in this event and I am physically fit and sufficiently trained to participate in the event. I grant full permission to any and all foregoing to use my likeness participating in this event without obligation or liability to me.

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