Chip's Not Dead Yet Memorial Mile: the funnest charity run alive! The funnest charity run alive! June 20, 2009

*Create a Team Password:
Create a password to add new people to your team at a later date

* Wave Theme:
Start location for Pooch, Family and High Heel waves is Discovery Street and West 10th Ave.

Pooch Parade (see details under wave category)
Super Hero Family ½ Mile
(all kids must be accompanied by a registered adult)
High Heel Dash

Start location for Timed, Rock Star Wave presented by 99.3 The Fox, Uniform, Bridal, Underwear, High School, and Elite waves is Alma and West 10th Ave.

Canuck Fan Parade
Rock Star Wave presented by 99.3 The Fox
Uniform
Bridal Dash
Underwear
High School

Super Hero Family ½ Mile .

Up to 5 kids under age 10 may register for free with an adult registration.

Child	First Name	Last Name	Name on bib	Date of Birth Year/Month/Day	Age
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Group leader

*Last Name:

*First Name:

Group or Company Name to be put on personalized bib (the same name will appear on all bibs):

*Address:

*City:

*Province: Please use 2 letter abbreviation

*Postal:

*Country:

*Telephone number:

*Email address:

*Date of Birth: Year Month Day

*Gender:

Female
Male

Team Members

#	First Name	Last Name	Wave Theme	Gender	Email	Shirt size
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Support BC Children’s Hospital, get great Lululemon gear AND Chip will match your donations!
Up to a maximum of $150,000!

By making a donation, you are making yourself eligible for great Lululemon gear AND Chip will match your donation*! Make your Donation: $
Donations over $20 will receive a tax receipt from BC Children's Hospital Foundation by mail.

Set a goal and gather pledges from family, friends and co-workers! Do something great for the kids and you will be eligible for great Lululemon gear! Fundraising Goal: $

Once you have set your goal, select a password for your personal fundraising page. Instructions on how to fundraise and how to get great Lululemon gear will be sent to the email you have provided. personal fundraising page Password:

WAIVER and RELEASE

In consideration of your accepting this entry, I hereby for myself, my heirs, executors and administrators waive and release any and all rights or claims for damages I may have against the organizers and their agents, representatives, successors and assigns, and the race sponsors, for any and all injuries I may sustain during the course of this event. I release the right to use my photograph for promotional purposes for future races. I understand that my entry is non-refundable and non-transferable. I hereby acknowledge having read this Release and Waiver, and understand and accept its terms.

Check this tick box to agree to the waiver:

ENTRY FEES	Before May 24th	May 25 to June 19	No team registration after June 19
Per Team Member	$25	$30	-
Team Online registration closes midnight June 19. Check ChipsNotDeadYet.com for package pickup time and location updates. All entries are NON-REFUNDABLE and NON-TRANSFERABLE. Adult entry fee includes a lululemon technical top. GST is not included in the fee listed above. The Timed event is not an option for Team registration. Only registrants in the TIMED WAVE receive a timing chip. An additional online fee will be added to your transaction by Eventsonline.ca for this service. Race day registration is not accepted for teams but only for individuals and is CASH ONLY. Race Day registration location for Pooch Parade, Super Hero Family Wave, and High Heel Dash is on Discovery Street and West 10th on June 20th (starting at 2:00pm). Race Day registration location for Timed, Canuck Fan Parade, Rock Star Wave presented by 99.3 The Fox, Uniform, Bridal, Underwear, and High School waves is Highbury and West 10th on June 20th (starting at 3:00pm).