Online Registration and Donation Form

To enter the Hurdal 5km and/or make a donation to the Canadian Cancer Society using EventsOnline.ca please follow these steps:

  1. Type your name and other information into the form below and click on the submit button.
  2. Use your Visa or Mastercard credit card to pay for your entry. The transaction will be processed securely in Canadian dollars.
  3. Once you have successfully paid for your entry your information will automatically be added to the event database and the 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.
ENTRY FEES before July 31st
5km $30
  • Online registration will close at Noon on August 6th 2010.
  • All entries are non-refundable and non-transferable.
  • The price shown above does not include the online processing fee.
  • Enter before July 7 th and receive a T-shirt as part of your registration.

MANDATORY FIELD = *

*Select event:
  • 5km
  • Donation only
Donation to Canadian Cancer Society: $
*Last Name:
*First Name:
*Address:
*City:
*Province or State: Please use 2 letter abbreviation
*Postal code or Zip code:
*Country:
*Day Phone number:
*Evening Phone number:
*Email address:
*Age on race day:
*Date of Birth: Year   Month   Day
*Gender:
  • Male
  • Female
*T-Shirt size (not available after July 8th):
  • None
  • Small
  • Medium
  • Large
  • X-Large
Running in honour/memory of:

RELEASE WAIVER AND INDEMNITY

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 the event.

Check this tick box to agree to the waiver: