White Butte Trail Duathlon
Online Registration

Sunday September 26th, 2010
White Butte Cross Country Ski Area, Saskatchewan.


To enter the White Butte Trail Duathlon event using EventsOnline please follow these steps:

  1. Type your name and other information into the form below and click on the submit button.
  2. Use your MasterCard or Visa credit card to pay for your entry. The transaction will be processed securely in Canadian dollars. Your credit card number will not be stored by Eventsonline.
  3. Once you have successfully paid for your entry your information will automatically be added to the race database and you will receive a confirmation email message. Your name will also be added to the confirmation page. Depending on your Internet connection, this process may take between 10 to 60 seconds. During this time do not click your Browser's back button or stop button.

Visit the White Butte Trail Duathlon web site at www.reginamultisport.com for more information about this event.
Events:
Entry Fee
Individual Duathlon
$40.00
Team Duathlon
$65.00
  • On-line registration will close at 5:00PM September 23, 2010.
  • STAC members receive a $15.00 discount
  • Must be 18 years of age to participate
  • No Race Day Registration! All fees Non-Refundable and Non-Transferable Under Any Circumstance!
  • Race fee includes race entry, STAC Day fee (required for insurance purposes), and post-race snack.
  • The price shown above does not include the Eventsonline fee .
    • Select one event: Individual Duathlon
    Individual Try a Du
    Team Duathlon
    Individual or Relay team runner 1 info.
    Last Name:
    First Name:
    Address :
    City/Town :
    Province or State: Please use 2 letter abbreviation
    Postal code or Zip code:
    Country:
    home phone number:
    work phone number:
    Email address:
    Age on Race day:
    Date of Birth:
    Year
    19     		Month
    		Day
    Gender: Male
    Female
    STAC #
    (or equivalent):
    ( $15.00 will be deducted from your entry form if VALID STAC# is provided , $5 deducted for each member of a relay with a valid STAC#)
    * MEDICAL QUESTIONNAIRE
    The following information is necessary to the race medical staff to ensure proper care in the event of accident or illness during the race.

    1. Do you have any current or recurrent medical conditons for which you are being treated by a doctor?
    2. Are you on any medications?
    3. Are you allergic to any medications?
    4. Are you hypersensitive to insect stings?
    5. Do you wish medical personnel to be aware of any specific medical problem?
    6. Have you ever received medical treatment for either Hypothermia (too cold) or Hyperthermia (too hot).

    If you answer YES to any of the above questions please describe here:

    If participating on a team please enter the team information below:
    Team Name:

    Cyclist:
    Name:
    		STAC # :

    ( $5.00 will be deducted from your entry form if VALID STAC# is provided )

    Runner:
    Name:
    		STAC # :

    ( $5.00 will be deducted from your entry form if VALID STAC# is provided )

    WAIVER,RELEASE AND INDEMNIFICATION
    I fully understand the risks involved in participating in this event and in consideration of acceptance of this entry, I hereby, for myself, my heirs, executors and administrators waive and release the organizers of this event, their agents, servants, representatives or sponsors, Regina Multisport Club (RMC) and the Saskatchewan Triathlon Association Corporation (STAC), from any liability with respect to death, injury, loss of or damage to any person or property, arising out of or in connection with my participation in this event, including any liability due to the negligence of the organizers of this event, their agents, servants, representatives, sponsors, Regina Multisport Club and Saskatchewan Triathlon Association Corporation. I consent to photographs being taken of me during the course of my participation in this event and accept and consent to the use of these photographs by the Regina Multisport Club (RMC) for purposes related to the RMC's activities and that I will not receive remuneration for such use. I have read, understood and completed the medical questionnaire. I have read and understood the waiver.

    Check this tick box to agree to the waiver :

    Relay Teams: We hereby acknowledge having read this acknowledgement of risk.

    Input name of Cyclist & Runner to agree to waiver above

    Please check the Regina Multisport Club Inc web site Thurs. September 24 for final race details


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