Petrillo Law Corporate Relay & Team Challenge and 10K Student Relay

To enter a team in the Mississauga Marathon 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 Amex Visa or Mastercard credit card to pay for your entry. The transaction will be processed securely in Canadian dollars.
ENTRY FEES By Oct. 28 By Jan. 27 By Mar. 30 By April 18 Expo
Petrillo Law Corporate Relay Challenge (max 5 members) $300CDN $350CDN $400CDN $500CDN N/A
Student Relay Team (max. 4 members) $80CDN $80CDN $90CDN $100CDN N/A
  • - Online registration will close at 11:59 PM on Wednesday, April 18th, 2012. No Expo entries or race day entries.
  • - ALL ENTRIES ARE NON-REFUNDABLE AND NON-TRANSFERABLE
  • - The prices shown above don't include HST and Eventsonline fee.
  • - To have your name printed on your bib, you must register by April 18th 2012

MANDATORY FIELD = *

Select Team Category: Petrillo Law Corporate & Team Relay Challenge (max 5 people)
10K Student Relay Team (max 4 people)
Company Name or School Name:
Teamname:
Captain's Last Name:
Runner 1:
Captain 's First Name:
Runner 1:
Address :
City :
Province or State:
 Please use 2 letter abbreviation
Postal code or Zip code:
code postal:
Country:
Day phone number:
Numéro de téléphone de jour:
Email address:
Gender:
Captain		 Male / Homme
Female / Femme
Pasta Party:
$25/ticket
Last nameFirst nameGender
Runner 2 Male Female
Runner 3 Male Female
Runner 4 Male Female
Runner 5 Male Female
School Category Elementary Grade 1-5 male
Elementary Grade 1-5 female
Elementary Grade 1-5 co-ed

Elementary Grade 6-8 male
Elementary Grade 6-8 female
Elementary Grade 6-8 co-ed

Secondary male
Secondary female
Secondary co-ed
WAIVER,RELEASE AND INDEMNIFICATION
In consideration of the acceptance of my application and the permission to participate as a volunteer or competitor in the Mississauga Marathon, and any or all of the following events: the Marathon, Petrillo Law Corporate Relay, the Half Marathon, the 10K Student Relay, the 10K, the Starbucks Coffee Hazel 5K, the 2K, Post Race Activities on Saturday, May 5th and Sunday, May 6th, 2012 and any other 2012 Mississauga Marathon activities that take place prior to or after the event. I, for myself my heirs, executors, administrators, successors and assigns, HEREBY RELEASE, WAIVE AND FOREVER DISCHARGE The City of Mississauga, the Peel Regional Police, the Chief of Police, the Mississauga Transit Commission, the Ministry of Transportation of Ontario, the Ontario Roadrunners Association, the Ontario Track & Field Association, all sponsors and contributors, Landmark Sport Group Inc. and its employees and volunteers, the Mississauga Marathon Organizing Committee, and all other associations, sanctioning bodies and sponsoring companies, and all their respective agents, officials, servants, contractors, representatives, elected and appointed officials, successors and assigns OF AND FROM ALL claims, demands, damages, costs, expenses, actions and causes of action, whether in law or equity in respect of death, injury, loss or damage to my person or property HOWEVER CAUSED, arising or to arise by reason of my participation in the said event, whether as a spectator, participant, competitor, volunteer or otherwise, whether prior to, during or subsequent to the event, AND NOTWITHSTANDING that same may have been contributed to, or occasioned by, the negligence of any of the aforesaid. I FURTHER HEREBY UNDERTAKE to HOLD AND SAVE HARMLESS and AGREE TO INDEMNIFY all of the aforesaid from and against any and all liability incurred by all of them as a result of, or in any way connected with, my participation in the said event. BY SUBMITTING THIS ENTRY I ACKNOWLEDGE HAVING READ, UNDERSTOOD AND AGREED 'TO THE ABOVE WAIVER, RELEASE AND INDEMNITY. I WARRANT that I am physically fit to assist/participate in this event.

Check this tick box to agree to the waiver :