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.
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