5K Fun Run & Walk
Date: Saturday September 26, 2026 Time: 10:00 am Location: 1211 98th Street
Name
*
First Name
Middle name or initial
Last Name
E-mail
*
example@example.com
Contact Number
*
Format: (000) 000-0000.
Address:
*
Street Address
Street Address Line 2
City
Province
Postal Code
Your Age on Event Date
*
What is your t-shirt size?
Please Select
Small
Medium
Large
XL
XXL
XXXL
In Case of Emergency
Emergency Contact:
*
First Name
Last Name
Relationship
*
Contact Number
*
Format: (000) 000-0000.
Are you participating in the 2K or 5K?
2K
5K
All participants are required to pay a $40 registration fee to secure their spot. Payment can be made by e-transfer, cash in advance, or cash on the day of the event. How do you plan to pay your registration fee?
E-Transfer (amber.stewart@basac.ca)
Cash (in advance - can be dropped off at 1211 98th Street)
Cash (on day of event)
Release and Waiver of Liability - Assumption of Risk and Indemnity Agreement
In consideration of my participation in the 5K Fun Run & Walk, I, the undersigned participant, hereby acknowledge and agree to the following:
*
I am fully aware of the risks involved in participating in the 5K Fun Run & Walk and voluntarily assume all such risks.
I am physically fit and have no medical conditions that would prevent my participation in the 5K Fun Run & Walk.
I agree to comply with all rules and regulations of the 5K Fun Run & Walk.
I release, discharge, and hold harmless the organizers of the 5K Fun Run & Walk, their directors, employees, volunteers, sponsors, and any other persons or organizations associated with the 5K Fun Run & Walk from any and all claims, damages, or injuries, including death, that may arise from my participation in the 5K Fun Run & Walk or as a result of my use of any facilities or equipment provided by the 5K Fun Run & Walk.
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
*
Submit Form
Submit Form
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