Online Registration

To enter the Birtle River Run 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.
EVENT
 Before June 30th After June 30th
Half Marathon (Adult) $50 $65
Fun Run (Adult) $25 $35
Half Marathon (Youth) $25 $40
Fun Run (Youth) $15 $25
  • Online registration will close August 6th, 2010 at midnight.
  • All entries are non-refundable and non-transferable.
  • MRA members receive a $3 discount.
  • Event web site: www.mraweb.ca .

MANDATORY FIELD = *

*Select event:
  • Half Marathon (Adult)
  • Fun Run (Adult)
  • Half (Youth)
  • Fun Run (Youth)
*Last Name:
Initial:
*First Name:
*Address:
*City:
*Province: Please use 2 letter abbreviation
*Postal Code:
*Country:
*Phone:
Fax:
*Email Address:
*Age Race on race day:
*Gender: Male
Female
MRA #:
*Shirt:
Upgraded Shirt - 10$ fee
  • Small
  • Medium
  • Large
  • X-Large
  • Upgraded - Small
  • Upgraded - Medium
  • Upgraded - Large
  • Upgraded - X-Large
*Spaghetti Supper ($12)
August 7 5:30 to 7:30pm
Birtle Golf Club:  Quantity

Emergency Information

*Contact First Name:
*Contact Last Name:
*Contact Phone Number:
Contact Cell Number:
*Contact Relationship:
Medical Info:
Medications Used:




Parent/Guardian (if under 18):
 

ATHLETE’S WAIVER AND RELEASE:

In consideration of the acceptance of this entry in the Birtle River Run, I, for myself , my heirs, execu- tors, administrators and assigns, waive any claims to which I may become entitled for injury or damage and release Birtle River Run and all other organizers, sponsors, representatives, their agents and em- ployees and any other person or organization assisting in this event, including the Manitoba Runners’ Association, the Event Director, the Town of Birtle and RM of Birtle, the Province of Manitoba, and their employees and agents and other participants and volunteers in the Birtle River Run, from any claims for damages or injury suffered by me as a result of my participation in this event. I further state that I am in proper physical condition to participate in the event and I am aware that road running is a potentially dangerous activity and am aware that participation could, in some circumstances, result in physical injury. I give my permission for the free use of my name and picture in broadcast, telecast or written account or this event.

Check this tick box to agree to the waiver: