Edmonton Heartbeat Run

Online Registration

To enter the Heartbeat Run of Edmonton using EventsOnline.ca please follow these steps:

Type your name and other information into the form below and click on the submit button.
Use your Visa or Mastercard credit card to pay for your entry. The transaction will be processed securely in Canadian dollars.
Once you have successfully paid for your entry your information will automatically be added to the event database and the Eventsonline.ca confirmation page for the event will be updated. Depending on your Internet connection, this process may take about 16 seconds. During this time do not click your Browser's back button or stop button.

INDIVIDUAL ENTRY FEES	until Sep. 6	Sep. 13 to Sept. 26
10km	$35	$45
5km	$30	$35
1km	$15	$20
TEAM ENTRY FEES (Minimum 6 team members)	until Sep. 26
10km	$25
5km	$25
1km	$10
Online registration will close at Midnight on September 23, 2010. All entries are non-refundable and non-transferable. The amount listed above does not include the online processing fee. The online processing fee will be added on the next page.

MANDATORY FIELD = *

*Event: 10km
5km
1km

*Last Name:

*First Name:

*Address:

*City:

*Province or State: Please use 2 letter abbreviation

*Postal code or Zip code:

*Country:

*Day Phone number:

*Email address:

*Age as of December 31st, 2010:

*Date of Birth: Year Month Day

*Gender:

Male
Female

If you own a Champion Chip Please enter the number here:

Race with a Plan!
Just getting into the sport?
Training on your own?
Don't have the time or money to work with a club/coach?
How about step-by-step plan with 'just the workouts'?
Add your training package today.
Get complete information here

The following questions are optional.

Occupation:

If your occupation is not listed above please enter your occupation here:

What is your level of Education?

A. High School
B. University
C. Post Graduate

Are you Married?

Product and Training knowledge received from:

YEARS competing in Running Events?

Athletic Background in:

If you have competed at this event before, what year(s) did you do?:

What is your PB at this distance?:

Goals for this year?:

Athletic of other Achievements?:

Discount Code:

NEW: Team Section

Signup a team as a team captain or join a team as a team member.
Teams must have a minimum of 6 participants.

*I would like to register as a:

Select your team name from list
(only if on a team)

Team Password:
Password supplied by team captain.

Donations & Pledging

Proceeds from the Heart Beat Run will benefit the Mazankowski Alberta Heart Institute through the University Hospital Foundation.

Yes, I would like to make a contribution to the University Tax receipts are issued for donations of $20.00 or Hospital Foundation: $

If you wish to participate in the Maz pledge program please fill in the information below�

Pledge Goal: $

Pledge Message:
(Plain text, no HTML)

ACKOWLEGEMENT OF RISK

WAIVER,RELEASE AND ACKNOWLEDGEMENT OF RISK - In consideration of your acceptance of this entry, and with full knowledge of the risks involved, I hereby waive and release for myself, my claims for damages and causes of suits or actions, known or unknown that I may have against the City of Edmonton, Multisportscanada, and all participating sponsors, supporters, and the directors, officers, employees, volunteers, and agents of such parties, for any and all injuries or losses arising or resulting from or relating to my participation in the Heartbeat Run.

Check this tick box to agree to the acknowledgment of risk:

For members under 18. As parent of the above-named child, I agree to my child participating in the sport of triathlon and have instructed my child of the risks involved and to be safety conscious.

I (name of Parent/Guardian) have read and agree to the Acknowledgment of Risk and acknowledge so by clicking this tick box: .