Mercedes-Benz 10k

April 25th, 2010 - Online Registration

To enter the Mercedes-Benz 10k using EventsOnline.ca please follow these steps:

Type your name and other information into the web form page below and click the submit button.
MasterCard and Visa are accepted. Your online Credit Card Transaction will be processed securely in Canadian dollars.
Confirmation of entry via this online form will be provided by email and on the confirmation page after your payment has been processed. (Payment processing takes about 16 seconds).

Entry Fees

Until February 28th, 2010

March 1st to April 24th, 2010

Race Day - April 25h, 2010

10km

$50

$55

$60

1km Junior Jog

$10

$15

Online registration will close at Midnight on April 22nd, 2010. Registration after that will be at Race Kit Pick-Up at New Balance Oakville on Apr. 23rd and 24th.
There will be no transfers or refunds.
How much is the online processing fee.?

MANDATORY FIELD = *

*Select event:

10km Run
10km Power Walk
1km Junior Jog

*(10km only) What is your anticipated 10k speed:

*Last Name:

*First Name:

*Address:

*City:

*Province/State:

*Postal Code:

*Country:

*Day Phone number:

*Evening Phone number:

*Email address:

*Confirm Email:

*Date of Birth: Year Month Day

*Age on Race Day:

*Gender:

Male
Female

*T-Shirt size: 10km only

How did you hear about the Mercedes-Benz 10k:

High School:

Club:

Why are you running?
Other:

Promo Code (if applicable):

Donations & Pledging

Proceeds from the Mercedes-Benz 10k will benefit United Way of Oakville Fund.

Yes, I would like to make a contribution to the United Way of Oakville:

$
Tax receipts are issued for donations of $20.00 or more.

If you wish to participate in the Mercedes-Benz 10k High-school Fundraising Challenge, please fill in the information below...

Pledge Goal: $

Pledge Message:
(Plain text, no HTML)

WAIVER, RELEASE AND INDEMNIFICATION/RENONCIATION

In consideration of my ability to participate in the Mercedes-Benz 10k or any other event outlined in this application (collectively, the event), I, on behalf of myself, my heirs, successors and assigns, hereby: (a) Assume all risk (whether inherent or extraordinary) and accept full responsibility for any and all injuries, property loss or damage, or death, associated with my participation in the event. I understand that vehicular traffic will be moving on the course during the event, and that I must exercise due care and caution for the safety of myself and others. (b) Represent that I am in good health and good physical condition, and have no medical conditions that would affect or limit my ability to participate in the demanding physical activity of the event safely. (c) If I am injured or take ill during the event, authorize event officials to transport me to a medical facility and/or to administer emergency medical treatment. (d) Fully release and hold harmless all sponsors of the Mercedes-Benz 10k, InField Marketing Group, and their respective officers, directors, employees, shareholders, representatives and agents, from any liability, claims, actions, damages and demands of any kind that might arise from my participation in the event and/or any related activities, and/or any medical transportation or treatment that may be administered by event officials. Each participant can and will be photographed during the event. By registering, the participant acknowledges that their likeness may be used on the Zoomphoto website, and various promotions on- and off-line to promote Zoomphoto, InField Marketing Group or the event. I have read and understood the above, declare that I am participating in the event voluntarily, and understand that my participation in the event is conditional upon my complete acceptance of this Assumption of Risk and Waiver.

Check this tick box to agree to the waiver: