2018 5k Road Championships Elite Form

Standards
A standard = guaranteed free entry + accommodation
B standard = possible entry + accommodation
WOMEN
A Standard Sub-16:45
B Standard Sub-17:30
MEN
A Standard Sub-14:45
B Standard Sub-15:30

1. Please fill out the form below and we will be in touch shortly.

Last Name *This question is required.

First Name *This question is required.

Athletics Canada Number

Club

Street Address *This question is required.

Apt/Suite/Office

City *This question is required.

Postal Code *This question is required.

Country

Email Address *This question is required.

Phone Number

Gender

Are you a Canadian citizen?

What is your date of birth? *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

Emergency Contact Name

Emergency Contact Number

Emergency Contact Relationship

2. Please enter your race performances in the last year that meet the qualifying standards. Include links to results.

3. Include a brief bio (250 words max)

4. Preference for accommodations

5. What is your goal for the Athletics Canada 2018 5k Road Championships?

6. What is something people would be surprised to know about you?

7. Please read and confirm your acceptance of waiver terms.

* In consideration of the acceptance of my application and the permission to participate as an entrant or competitor in the B&O YORKVILLE RUN / CANADIAN 5K ROAD RACE CHAMPIONSHIP on Sunday, September 11, 2016. I for myself, my heirs, executors, administrators, successors, and assigns HEREBY RELEASE, WAIVER AND FOREVER DISCHARGE The City of Toronto, The Toronto Police Service, The Toronto Police Services Board, The Chief of Police, The Members of the Toronto Policy Auxiliary Program, The Toronto Transit Commission, Athletics Canada Inc., Bang & Olufsen, All Race Sponsors, 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 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 B&O YORKVILLE RUN, 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 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. BY SUBMITTING THIS ENTRY, I ACKNOWLEDGE HAVING READ, UNDERSTOOD, AND AGREE TO THE ABOVE WAIVER, RELEASE and INDEMNITY. *This question is required.

Agree