Sunday October 3, 2010 / UNIVERSITY STADIUM, WATERLOO

To enter a FAMILY in The 3rd Annual Laurier Loop 10 KM, 5 KM, 2.5 KM & Relay Road Races 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 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.
EVENTS Entry Fee
Family Rate 3 People $65
Family Rate 4 People $75
Family Rate 5 People $85
  • Online registration will close at 6pm ET on September 29th, 2010.
  • Event Web site www.RunWaterloo.com .
  • Enty fee does not include processing fee.

  • All entries are non-refundable and non-transferable.

MANDATORY FIELD = *

First Name Last Name Age on race day Gender M
F		 Shirt
Event Category Team Category Team Name
First Name Last Name Age on race day Gender M
F		 Shirt
Event Category Team Cat. Team name
First Name Last Name Age on race day Gender M
F		 Shirt
Event Category Team Category Team Name
First Name Last Name Age on race day Gender M
F		 Shirt
Event Category Team Category Team name
First Name Last Name Age on race day Gender M
F		 Shirt
Event Category Team Category Team name
 
*Address:
*City:
*Province: Please use 2 letter abbreviation
*Postal code: (Format: X0X 0X0)
*Country:
*Telephone:
*Email address:
Organizers are pleased to support LAURIER'S MOVEMENT DISORDERS RESEARCH & REHABILITATION CENTRE.
race website Yes, I would like to make a donation of: $
Tax receipts are issued for donations of $20.00 or more.
 

WAIVER, RELEASE and INDEMNIFICATION:

In Consideration of your accepting my entry in "The 2010 Laurier Loop Road Races", the signatory, intending to be legally bound, does hereby for myself, my heirs, executors, successors and assigns, waive, release and forever discharge all rights and claims I may have against The Regional Municipality of Waterloo, the Corporation of the City of Waterloo, and any sponsors or organizers of this event, their agents, officers, representatives, heirs, successors, assigns and members for any and all damages (property, personal and all consequential damages) which may arise out of my traveling to, participating in and returning from this event. I specifically acknowledge that I have read the above warning and understand it, that I am physically fit and sufficiently trained to participate in this event, and that I have full knowledge of the risks involved in such participation, and fully accept such risks. I also consent to the reproduction of any photographs in any advertising or promotions. IMPORTANT NOTE: The signatory acknowledges that this event is organized and operated by THE WATERLOO 10 KM CLASSIC ROAD RACE INC., a non-share capital corporation incorporated under the laws of the Province of Ontario and all rights and remedies shall be governed accordingly.

Check this tick box to agree to the waiver: