WAIVER WAIVER PLEASE READ AND SIGN WAIVER I know that participating in physical fitness events is a potentially hazardous activity. I agree not to participate unless I am medically able and properly prepared. I should not participate without my physician’s approval. I agree to abide by any decision of an event official concerning my ability to safely participate. I assume any and all risks associated with the event; including but not limited to, falls, contact with other persons or objects, the effects of weather, traffic and course conditions. As a condition of my entering this event, I, for myself, any accompanying minors, and anyone entitled to act on my behalf, waive and release Running Room Sports Inc., any associated or related entities, their directors, officers, employees, agents, representatives, sponsors, volunteers, and organizers (herein collectively called “Event Organizers”), from present and future claims and all liabilities of any kind, known or unknown, arising out of my participation in this event or related activities, even though such claim or liability may arise out of negligence or fault on the part of the Event Organizers. I agree that the Event Organizers shall not be liable for any personal injury, death or property loss, and I release the Event Organizers and waive all claims with respect thereto. In the event my registration fees are paid, I agree to be bound by the provisions of this waiver. I grant permission to Event Organizers to use or authorize others to use any photographs, motion pictures, or any other record of my participation in this event or related activities without remuneration. Applications for minors shall be accepted only with a parent’s signature and should be signed by the minor. I have read this Waiver. I understand and accept its terms. Signature: __________________________________ (Parent/Guardian Signature if Entrant under 18) SPONSORS SPONSORS The Hershey Harriers Would like to thank the following for the support they give this event: H presents THE 11:01AM THE ERSHEY H A R R I E RS H Remembrance Day Masters AGE 35+X-COUNTRY RACE, 12 NOON MEN'S 8k & WOMEN'S 6k OPEN RACE PENNY LANE PUB VANCOUVER ROWING CLUB Date:_______________________________________ Privacy Policy Running Room Canada Inc. is committed to respecting the personal privacy of our customers. All personal information held or collected by Running Room Canada Inc. is protected. If you have any questions about the protection of your personal information, please contact us at: [email protected] or by postal mail to Running Room Canada Inc., 9750 – 47 Avenue, Edmonton, Alberta, Canada, T6E 5P3. To view our privacy policy visit web site: www.runningroom.com. THE ERSHEY HARRIERS FOR MORE INFORMATION PLEASE CONTACT: Jerry Tighe at [email protected] Sunday November 11th, 2007 Brockton Oval, Stanley Park Vancouver, B.C. R e g i s t e r o n - l i n e @ w w w . r u n n i n g r oo m . c om RACE INFORMATION RACE INFORMATION The Masters X-Country Race is a highlight of the Masters running calendar. If you are over 35, this is where the action is! The H.A. Simons perpetual trophy for men and women will again be presented to, whom else, but the finest man and women MASTER cross country runner. The course is a one-lap cross country classic, through the balmy trails of Stanley Park. The Masters is held, quite appropriately we believe, on the most important of all veterans events of the calendar year - Remembrance Day. Race start will be with the first gun of the 21 gun salute, at 11:01 am. For those masters/veterans who wish to watch nostalgically on the rigors of the 8km Cross Country Course and how it is compared to Vimy Ridge, Dieppe, Monte Casino and the Aldershot Riots, they will have ample opportunity to do so at the post-race social and presentations immediately following the race. Finally, this is a participation for all plodders, joggers, and those who have just discovered the wonders of health and fitness, as well as the fleet of foot. DATE: Saturday, November 11, 2007 START: Brockton Oval, Stanley Park ENTRY FEES: $30.00 (Includes colorful short sleeve tech shirt) $20.00 (No shirt) B.C. Athletics Members DEDUCT $3.00 Friday, November 9th, 11 am - 5 pm @ Denman Running Room PH: (604) 684-9771 Saturday, November 10th, 11 am - 5 pm @ Denman Running Room 2903 W. 21st Ave., Vancouver, B.C. V6L 1K7 • Fax (604) 737-3171 • Print the entry form online at www.hersheyharriers.com Individual # 7020 Team # 7021 MAKE CHEQUES PAYABLE TO: NAME:_ ________________________________________ AWARDS/MEDALS/RIBBONS: SEX: Hershey Harriers 1. Masters Individual: H.A. Simons trophies to first woman and man overall, plus medals top three: 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75+ 2. B.C. Athletics Masters Club Competition: Age graded placing for the top three BCA club members will be added together. CATEGORIES: • Mail to: Hershey Harriers MASTERS RACE Race day registration will be race morning at Brockton Oval starting at 9:30 am. LATE REGISTRATION: FINISH: Brockton Oval • Register online at www.runningroom.com Remembrance Day ❒ Masters Men's & Women's 8k (age 35+) ❒ Open Men's 8k ❒ Open Women's 6k START TIME: 11:01 am, OPEN RACE 12 NOON • Register at any Running Room Location ENTRY FORM PRE-RACE REGISTRATION/PACKAGE PICKUP @ DENMAN RUNNING ROOM: 3. Open Race: Ribbons: 1st - 10th place ENTRY: ENTRY FORM 1. Individual: H.A. Simons trophies to first woman and man overall, plus medals top three: 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75+. 2. B.C. Athletics Club Competition: Age Graded placing for the top three BCA club members will be added together. ENTRY INCLUDES: Medals, trophies, draw prizes, garments & hearty refreshments. r r M F Age on race day:___________ ADDRESS:______________________________________ CITY:_ ___________PROV:_ ____ PC:________________ PH (H):_ _______________________________________ D.O.B (yy/mm/dd):_______________________________ TECH SHIRT: r S r M r L r XL B.C. ATHLETICS #:_______________________________ AMOUNT ENCLOSED $:____________________________ RESULTS Results for this event will be produced by www.raceheadquarters.com TEAM NAME:_ ___________________________________ Register on-line @ www.runningroom.com
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