Somersault Promotions

To enter the Winterman please follow these steps:

Type your name and other information into the web form below and click the submit button.
Amex, MasterCard and Visa are accepted. Your online Credit Card Transaction will be processed securely in CDN dollars and will show eventsonline.ca as the processor.
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.)

Pour vous inscrire au Winterman veuillez suivre les indications suivantes:

Entrez vos informations dans les cases appropriées et cliquez sur le bouton soumettre.
Les cartes Amex, Mastercard et Visa sont acceptées. Votre transaction sera enregistrée en dollars canadiens en utilisant la compagnie sécuritaire E-xact.
Vous recevrez une confirmation d'inscription par courrier électronique et votre nom sera affiché sur la page de confirmation. La transaction prend environ 16 secondes.

	Up to Sept. 30, 2011	Up to Nov. 30, 2011	Up to Feb. 6, 2012	Up to February 12, 2012	Up to February 20-21, 2012
3Km Runs	$25	$30	$35	$40	$50
5Km Runs	$30	$35	$40	$50	$60
10Km Runs	$35	$40	$45	$55	$65
Half Marathon	$65	$70	$80	$90	$100
Marathon	$80	$90	$100	$120	$130
Marathon 2 Relay	$110	$125	$140	$160	$180
Marathon 4 Relay	$160	$170	$180	$200	$220
Marathon 8 Relay	$240	$250	$280	$300	$320
School/Open Challenge	$120	$120	$120	$140	$150
Students born 1988 or later	40% off	40% off	40% off	40% off	40% off
60 and over	10% off	10% off	10% off	10% off	10% off

SPECIAL PRICES
Students born in 1988 or later	40% Discount up to the Sunday before the event (online entries only!). Students born in 1988 or later are eligible for a student discount in most individual events. Please include the name of the institution you attended in 2011-2012 in order to be eligible for this discount.
60 Years & Over	Participants 60 & over receive an automatic 10% discount on individual event entry fees (online entries only!).

NOTES
Online registration will close at Midnight on February 12, 2012. Registration fees after February 12, 2012 are by cash only and at a higher rate. See the race web site at http://www.somersault.ca/eventwinterman.htm for late registration details. All entries are non-refundable and non-transferable. The entry fees listed above do not include the online processing fee. The entry fee listed above include the 13% HST. Find more information about certain fields by hovering over the Somersault "O". Inscription en-ligne ferme à Minuit le 12 Février, 2012. Frais d'inscription après le 12 Février 2012 sont payables par argent comptant seulement et à un prix supérieur. Visitez le site web de la course http://www.somersault.ca/eventwinterman.htm pour plus de détails. Les prix ci-dessus incluent le frais de 13% HST. Les frais d'inscription ne sont pas remboursables et ne sont pas transférables. Les frais d'inscription n'incluent pas le frais Internet. Pointe ton curseur sur les "O" Somersault pour information supplémentaires sur certains champs.

MANDATORY FIELD = *

*Select Type of Entry:

Choisir Type d'Événement:

*Participation Category:

Catégorie de Participation:

*Walker?:

Marche?:

Yes
No

*Champions Challenge?:

Yes
No

*First Name:

Prénom:

*Last Name:

Nom:

*Address:

Addresse:

*City:

Ville:

*Province/State:

Province/État:

*Postal Code/Zip Code:

Code Postale/Zip

*Country:

Pays

*Day Phone number:

Numéro Téléphone (jour)

*Evening Phone number:

Numéro Téléphone (soir)

*Email address:

Addresse Courriel

*Confirm Email address:

Confirme ton Addresse Courriel

*Date of Birth:

Date de Naissance

Year Month Day

*Age on December 31st, 2012:

Age au 31 décembre 2012

*Gender:

Sexe

Male
Female

*Souvenir Shirt - Size and Type?

Chemise Souvenir - Grandeur et Type?

NOTE: The souvenir Shirt for Marathon and Half Marathon and 2-person Marathon Relay participants is a long sleeved t-shirt. Please check off your size in the 'Adult' shirt section of the drop down menu. If you are participating in a shorter distance, please select a short sleeved t-shirt size; however, you may purchase a Long Sleeved T-Shirt for $10 simply by selecting the Adult long sleeved shirt size and the fee will be added to your overall checkout cost.

School:

École:

List any medical conditions:

Décrire tous condition(s) médicale(s)

Club Affiliation:

FAMILY / GROUP :: FAMILLE / GROUPE

Event
Événement

First Name
Prénom

Last Name
Nom

Age
Âge

Gender
Sexe

T-Shirt
Chandail

M F

School :: École:
Medical Conditions :: Conditions Médicales:

M F

School :: École:
Medical Conditions :: Conditions Médicales:

M F

School :: École:
Medical Conditions :: Conditions Médicales:

ChampionChip #:

How did you hear about the event?

Comment as-tu pris connaissance de cet événement?

Discount Code:

Code Escompte:

Parent or Guardian Name:
(Entrants under 18 years of age)

Parent ou Guardien:
(Participants sous 18 ans)

Somersault Charity FUNdraising Program

If you would like to make a donation and/or participate in the Somersault FUNdraising program, please fill in the information below...

I would like to support:

By adding an optional donation of: $

Pledge Goal: $

Pledge Message:
(Plain text, no HTML)

WAIVER, RELEASE AND INDEMNIFICATION

Please accept my entry for the Winterman. I acknowledge that I am participating at my own risk in this event and I agree to waive all claims of every nature against Christine McKinty, Terry McKinty, Somersault Event Series, 2251309 Ontario Limited., Search and Rescue Global 1, NCC, City of Ottawa, Ville de Gatineau, War Museum, the event sponsors, Somersault Series sponsors, and any and all other participating individuals or agencies in respect to any and all personal loss or bodily injury, including death, resulting from my participation in this event. I acknowledge and understand that participation in this event involves risks to my health and safety, including death, and I willingly accept these risks. I further acknowledge and understand that insurance coverage for this event does not provide me with personal accident insurance benefits and that I am responsible to obtain my own personal accident insurance coverage should I wish to be eligible for accident benefits that are in excess of those currently covered through my provincial/state or private health insurance plan(s). I also acknowledge that I understand the rigors of this competition and I verify here that I know myself to be healthy and fit enough to participate in it. In providing my email for identification and communication purposes, I understand that my email may be used for Somersault newsletters, event updates, and sending photo proofs, and that Somersault will not sell its email lists to any third parties. I agree to permit the event organizers to use any photo taken of me during the event for promotional purposes on its website, in the media or in special promotions.

I agree to allow a link to individual photos taken of me by the official race photographer during the race, to be
placed beside my name on the official race results produced by SportStats:

I understand that the company listed on my credit card statement for
this event/transaction will be www.eventsonline.ca:

I have read and agree to the above waiver: