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

Full Name*

First NameLast Name

Age*

Date of Birth*

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 Fee

5K run (No Donation Receipt)$15.00CAD

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

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

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

Total $0.00CAD

Payment Method

Send payment via etsf to weruntheworldcoaching@gmail.com. 100% of proceeds will be donated to AARCS.

I confirm that I am in good shape, health, and condition.I don't have any medical condition, allergies or medical history that will affect my participation in this event.I will follow the rule and regulations of the race event.I acknowledge that this race requires physical activity and there are possible risks and danger.I release the race event organizers for any responsibility in case of an accident, illness, or injury.I allow my photo to be taken during the event and used for event advertising and marketing.I confirm that all information in this registration form is accurate and true.

Signature*

Date Signed

Date

Parent/Guardian Signature (If participant is below 18 years old)

5k Track Race Registration Form

Participant Details

Registration Payments

Waiver & Release