Track Race Registration Form

5k Track Race Registration Form
Location: Glenmore Athletic Park 5300 19 St SW, Calgary, AB T3E 1P1 Race Date: July 23, 2022 Time: 8:00AM - 10:00AM
Participant Details
Full Name

First NameLast Name
Age
Date of Birth

MonthDayYear
Date
Email
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Goal Finish Time
This is required for pace groups and start times.
Emergency Contact Person

First NameLast Name
Emergency Person Phone Number

Area CodePhone Number
Relationship to Emergency Contact Person
Registration Payments
Registration Fee
prevnext( X )
5K run (No Donation Receipt)$15.00 CAD

5K run (Top Up for Donation Receipt)$20.00 CAD

5K run (Top Up for Donation Receipt)$50.00 CAD

5K run (Top Up for Donation Receipt) $100.00 CAD

Total $0.00 CAD
Payment Method
Send payment via etsf to weruntheworldcoaching@gmail.com. 100% of proceeds will be donated to AARCS.
Waiver & Release
Signature
Date Signed

MonthDayYear
Date
Parent/Guardian Signature (If participant is below 18 years old)
Should be Empty:

5k Track Race Registration Form