10-11-12 Marathon

November 10, 2012 Saskatoon, Saskatchewan Mendel Art Gallery Parking Lot 9:30 a.m. start

Entry Form
Name of Relay Participant 1 or Solo Participant: ________________________________________ Address: ________________________________________ City: _____________________ Province: _____ Postal Code: ___________ Telephone: ________________ Email: _____________________ Age on race day: ___________ Gender: M F Name of Relay Participant 2: ________________________________________ Address: ________________________________________ City: _____________________ Province: _____ Postal Code: ___________ Telephone: ________________ Email: _____________________ Age on race day: ___________ Gender: M F Event (select one event only): Full Marathon Solo: _____ Full Marathon - 2 person relay: _____ Entry Fee: Free

Please complete this form & bring it with you on race day. Submit form to race committee prior to race start. NOTE: All participants must sign the attached waiver form.

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WAIVER OF LIABILITY AGREEMENT DISCLAIMER 10-11-12 Marathon and its officers and directors, all Event committee persons, service providers, officials, volunteers, the City of Saskatoon including City Police, and all sponsors and suppliers to the Event (the Releasees) are not responsible for any death, injury, loss, or damage suffered by the Participant named below while participating in the 1011-12 Marathon (the Event), and caused in any manner whatsoever, including, but not limited to, negligence by the Releasees.

ASSUMPTION OF RISK I AM FULLY AWARE OF THE RISKS ASSOCIATED WITH PARTICIPATING IN THE EVENT AND I FREELY ACCEPT AND FULLY ASSUME ALL RISKS, AND THE POSSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE, OR LOSS. These risks include, among other things, injuries resulting from: vigorous physical exertion; falls due to uneven or irregular terrain or surfaces; and from colliding with or being struck by other participants, spectators, equipment or vehicles. It is acknowledged that participating in the Event requires proper physical training, and that the Participant (and Parent/Guardian, if applicable) is solely responsible for ensuring that the Participant is physically capable of participating. RELEASE OF LIABILITY In consideration for the Releasees agreeing to the Participants participation in the Event, I agree: To waive all claims that the Participant has or may in the future have against the Releasees, and to release the Releasees from all liability for loss, damage, expense or injury that the Participant may suffer as a result of participation in the Event, due to any cause whatsoever, including negligence of the Releasees; and To assume all risks and be solely responsible for any injury, loss or damage which the Participant might sustain while participating in the Event, even though such injury, loss, or damage may have been caused by the Releasees. OTHER AGREEMENTS I consent to the use of the Participant's name, results and awards, age category and photos of the Participant from the Event in any publicity associated with the Event and in any form of promotional material for the Event or future 10-1112 Marathon events. I also consent to the use of information contained in the registration form for the purpose of soliciting the Participant's participation in, or volunteering at, future 10-11-12 Marathon events. I acknowledge that the organizers of the Event have the right to cancel or stop the Event due to acts of God or other circumstances beyond their control. I ACKNOWLEDGE THAT I HAVE READ THIS WAIVER AGREEMENT AND FULLY UNDERSTAND ITS TERMS. I ACKNOWLEDGE THAT I AM ENTERING INTO THIS AGREEMENT VOLUNTARILY, AND I INTEND FOR IT TO BE BINDING ON MYSELF, MY HEIRS, EXECUTORS, ADMINISTRATORS, AND REPRESENTATIVES. ____________________________________________________________ Printed Name of Relay Participant 1 or Solo Participant ____________________________________________________________ Signature of Participant or Parent/Guardian (if Signature of Witness Participant is under 18 years of age) ____________________________________________________________ Printed Name of Parent/Guardian (if applicable) Printed Name of Witness ___________________________________ Date ____________________________________________________________ Printed Name of Relay Participant 2 ____________________________________________________________ Signature of Participant or Parent/Guardian (if Signature of Witness Participant is under 18 years of age) ____________________________________________________________ Printed Name of Parent/Guardian (if applicable) Printed Name of Witness ___________________________________ Date