Elite Athlete Application — deadline June 30, 2012

Please answer all questions!

Applying for:	Individual Elite Hosting (all nationalities) Scotiabank International Team Challenge (Canada, UK, USA and Mexico only)
Athlete First Name:
Last Name:
Gender:	Male Female
Date of birth:	Month: Day: Year:
Athlete email:
Address:
City:
Province/State:
Country:
Postal/Zip Code:
Daytime Phone:	include area code
Evening Phone:	include area code
Citizenship:
Canadian Resident Status:	Citizen Landed Immigrant Refugee regularly domiciled in Canada None of the above
Which event are you applying for?	Half Marathon Full Marathon
Running Bio, including recent performances (event & date, time, placing) and records held (maximum 100 characters per line):
1. 2. 3. 4. 5.
Form submitted by:	(name)
Relationship to athlete:	Coach Manager Athlete
Email:
	By checking this tick box, I indicate my ACCEPTANCE OF THE RELEASE WAIVER AND INDEMNITY BELOW
In consideration of the acceptance of my application and the permission to participate as an Entrant or competitor in the 2012 SCOTIABANK TORONTO WATERFRONT MARATHON, HALF-MARATHON & 5K RUN/WALK Sunday October 14th, 2012, I, for myself, my heirs, executors, administrators, successors, and assigns HEREBY RELEASE, WAIVE, AND FOREVER DISCHARGE The City of Toronto, The Toronto Police Service, The Toronto Police Services Board, The Chief of Police, The members of the Toronto Police Auxiliary Program, The Toronto Transit Commission, Direct Energy Marketing Limited, Maple Leaf Sports & Entertainment Ltd., BPC Coliseum Inc., Canadian National Exhibition Association and their respective Directors, Officers and Employees, Canadian Ski Patrol System and its members, Oxford Properties, Toronto Port Authority, Brookfield Place (Wellington) Limited, Brookfield Properties, GO TRANSIT, Toronto & Region Conservation Authority, Athletics Canada, OTFA, ORA, Canada Running Series Inc. (1399662 Ontario Inc.), Race Course Officials and Volunteers, The Bank of Nova Scotia (Scotiabank), A. Lassonde Inc. , Pepsi QTG, SDI Marketing, Leukemia and Lymphoma Society of Canada, Running Room, 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 spectator, participant, competitor, or otherwise, whether prior to, during or subsequent to the event, AND NOTWITHSTANDING that same may have been contributed to or occasioned by the negligence of the aforesaid. 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. Further, I hereby agree to periodic mailings both electronic and physical from Canada Running Series Inc. (1399662 Ontario Inc.) only. Personal information collected by Canada Running Series Inc. (1399662 Ontario Inc.) is for registration and results purposes only, and will not be shared with other companies or organizations. Further I hereby grant full permission to any and all the foregoing to use any photography, video tapes, motion pictures, recordings or any other record of this event for promotional purposes. BY SUBMITTING THIS ENTRY, I ACKNOWLEDGE HAVING READ, UNDERSTOOD, AND AGREE TO THE ABOVE WAIVER, RELEASE and INDEMITY. I WARRANT that I am physically fit to participate in this event.

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