Printable Registration Form

Sunday May 24, 2015
Half/Relay/10k/5k - 8:00am
Early Start Half - 7:00am
Kids Kilometer - 10:30am
www.oakbayhalf.com
Deadlines
1/2 Marathon
Early w/ Gift* (to Dec 31)
$55*
Early (Jan 1 to Mar 15)
$60
Regular (Mar 16 to Apr 15)
$65
Late (Apr 16 to May 21)
$75
Race Weekend** (May 22/23/24)
$90
Personal Information
10.73K
$30**
$35
$40
$45
$60
5K
$20
$25
$30
$35
$45
Kids 1K
$10
$10
$10
$15
$20
Relay(4 People)
$110
$120
$130
$140
$180
*Bonus Gift is available to the Half-Marathon registrants only.
**For the first 100 registrants in the 10.73K event, $10.73 will be donated to CFAX Santa's Anonymous
Name: ________________________________________________________________
Street: ________________________________________________________________
City: ______________________________
Postal Code: _____________________
Phone: ____________________________
Email : __________________________
MM DD YYYY
Birth date: _________________________
Gender: ___ Male ___Female
WXS WSM WMD WLG WXL MSM MMD MLG MXL YSM YMD YLG
Shirt Size: _____________________________________________________________
Please circle your requested size. Sizes are limited. Based on first come first served basis.
Emergency contact: ________________________ Phone: ______________________
Medical Issues/Allergies: _________________________________________________
Participant Signature: ________________________________ Date: _____________
In consideration of Frontrunners Footwear (hereinafter referred to as the organizers) accepting this, my entry, I hereby, both for myself and my heirs, release from liability, and waive any and all
claims for damages (whether for personal injury, death, illness, property damaged and/or property loss) including claims for negligence, which I may have as a result of my participation in this race,
against the following: Frontrunners, Kool 107.3 Radio Station, The Corporation of the District of Oak Bay, Asics Footwear, Synergy Health Management, Executive and members, Race Organizers,
members and volunteers assisting them, race sponsors, their employees and agents, BC Athletics and its employees and agents; RCMP and other participants in the race. I acknowledge that
running is a sport with risks (both known and unknown) inherent in it, and in signing this entry form it is my intention to accept those risks and, all one another, and the invalidity of any one or
more clauses in the Release shall not affect the validity of the other clauses. I acknowledge that I have read this release in its entirety, that I understand and agree to be bound by its items, and that I
am signing voluntarily without duress or undue influence from anyone. No cancellations, transfers or refunds accepted.