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Inspirational Steps Online Registration

11 May 2013

Please Note that the Registration Deadline has Passed. We are no longer accepting registration.
To register online, please fill in the following form. Fields marked with an asterisk (*) are mandatory.

Surname*:
First Name*:
Address*:
City*:
Postal Code*:
Age (on race day)*:
Telephone Number*:
Email Address*:
Gender*: Female
Male
T-Shirt Size*: Youth
Small
Medium
Large
X-Large

Please check which applies*: Participant - by submitting this form, I acknowledge that I will give $15 registration fee to the GGSCF even if I fail to participate in the actual event
Volunteer - minimum 16 years of age required
Select the distance you will be running/walking*: 5km
12km
Half-Marathon (21.1km)
Marathon (42.2km)*
I’m a volunteer
*Please note that you must be at least 18 years of age to run distances over 21.1km.

Who inspires you to take part in this event or impacts your life?
Have you taken part in any races before? If so, please list.
Medical History enter “none” if this doesn’t apply*:

You may choose to provide organizers with additional medical information in case of an emergency:

Doctor’s Name:
OHIP Number:
Doctor’s Telephone Number:

Emergency Contact*:
Emergency Number*:
How did you hear about this event?*:

RELEASE, WAIVER, AND INDEMNITY In consideration of the acceptance of my application and the permission to participate as an entrant or competitor in the INSPIRATIONAL STEPS MARATHON, HALF-MARATHON, 12K AND 5K RUN/WALK Sunday, May 19, 2013. I for myself, my heirs, executors, administrators, successors, and assigns HEREBY RELEASE, WAIVER AND FOREVER DISCHARGE the Guru Gobind Singh Children’s Foundation (GGSCF), it members and all other associations, sanctioning bodies and sponsoring companies, and elected 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, volunteer 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 allow the use of any photographs taken of me in the walk/run, by the organizers, for future event promotional 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. I WARRANT that I am physically fit to participate in this event.
I am at least 18 years of age and I agree with the above conditions.
I am the Parent/Guardian of the above named participant who is under 18 years of age and I agree with the above conditions.
Name of Parent/Guardian who is giving consent (if applicable):