September 10, 2017
Race Registration Form
To May 31 |June 1 - Aug 15| Aug 16 - Sep 6
Marathon $60 $65$70
Half Marathon $45$50$60
10k $30 $40$45
5k $30 $40$45
Student 10k $20 (to Jul. 3) $25 (from Jul. 4 to Sep. 6)
Student 5k $20 (to Jul. 3) $25 (from Jul. 4 to Sep. 6)
Student: 19 and under before December 31st, 2017
Registration fees are non-refundable. However, if you contact us at before August 1st, 2017, we will carry forward the registration into the next race year; no deferrals will be accepted after August 1st, 2017. There is a $10 administration that applies to all deferrals - no exception.
Runners Information
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First Name Last Name
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Mailing/Street AddressTown/ CityProv/ State Postal Code/ Zip Code
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PhoneEmail
______SMLXL2XL
Female/MaleDate of Birth(Shirt size - circle one) *Shirts guaranteed until August 20th, 2017.
______
Medical Conditions
Waiver must be signed to enter this event:
Understanding of Risk and Release of Responsibility:
I understand that participating in a road race is a potentially dangerous event. Further, the weather, footing and vehicle traffic conditions may be adverse and greatly increase the danger. I certify that I am medically fit to participate without risk to myself or others. I understand that I am totally responsible for my own safety. In consideration of my being permitted to participate in the Race, I hereby remise, release and forever discharge, waive and save harmless, protect and indemnify the Race Organizers, Athletics Canada, Athletics Nova Scotia, Sport Nova Scotia, Run Nova Scotia, any and all clubs, associations, sanctioning bodies, sponsors, participants, competitors, entrants and all respective agents, officials, volunteers, servants, and representatives from and against any and all kinds of action claims, costs and expenses and demands in respect of death, injury, loss or damage to my person or property howsoever caused as a result of my being permitted to attend or in any way take part prior to, during or subsequent to the Race, whether as an entrant, competitor, spectator or otherwise, not withstanding that some may have been contributed to or occasioned by the negligence of any of the aforesaid, their agents, officials, servants or representatives. Distance changes will be accepted up to September 1st, 2017 by contacting us at only. Facebook or Twitter messages requesting a distance change will not be answered. A $10 administration fee will apply to all distance changes – no exception. If you are changing a registration that requires additional fees, that increased fee is due at the time of the change. There will be no refund if the registration fee is less. Further, I hereby grant permission to any of the above to disseminate photographs or other race result information to the public, through any medium they so choose, from time to time. All participants become event members of Run Nova Scotia for the duration of this event. By submitting this entry, I acknowledge having read, understood and agreed to the above. This document will bind my heirs, executors, administrators, successors, and assigns.
Signature: ______Date: ______
(Parent’s signature if runner is under 19 years of age)
How to Register:
Print off registration form, include cheque made out to: Cape Breton Fiddlers Run and mail to: Nick Burke - Race Director 40 Damion Street, Sydney River, NS B1S 3C7.
Office Use Only:
Paid by cheque: ____Paid By cash: ____Registered in system: ____Bib No.: ______