TORONTO REGISTRATION FORM EVENT INFORMATION YEAR: Select Event: Full/Half-Marathon 5K Run/Walk PARTICIPANT INFORMATION Last Name: First Name: Gender: Male Female Parish: Date of Birth: (yyyy/mm/dd) Age (Race Day): Address: City: Province: Postal Code: Phone #: E-mail: Emergency Contact: Emergency Phone #: List any medical conditions: • All entries are non-refundable and non-transferable. • Age Limit: Full/Half Marathon: 18 years old on event day; 5K: open to all • Registration Fee: Marathon / Half Marathon: $80; 5K: $40; 5K with Stroller: $50 T-SHIRT SIZE: SIZING: 5K Run/Walk S M L XL Men’s Tech Women’s Tech Small 39–41” Small 34–35” T-shirts are Sexed/Sized technical for all distances. Men’s Tech Medium 42–44” Medium 36–37” T-shirt sizes are available while quantities last - Large 45–47” Large 38–39” your selection on registration is used only Women’s Tech X-Large 48–50” X-Large 40–41” as a guideline. PAYMENT METHOD Credit Card: Visa MasterCard Name on Card: Card Number: Expiry Date: (mm/yy) CSC: Date: Signature: t. 905.707.7800 | e. [email protected] | w. walk.FLL.cc FLL SCOTIABANK TORONTO MARATHON/WALKATHON REGISTRATION - WAIVER FORM The undersigned hereby acknowledge and agree that I voluntarily enter this Fountain of Love and Life (FLL) event at my sole risk, and that Fountain of Love and Life, its affiliates, subsidiaries, associated ministries and the organizers, sponsors and volunteers of FLL are exempt from all liabilities whatsoever for any and all damages, injuries and loss, including personal and property loss, that I may sustain arising from or in connection with any cause whatsoever, including, without limitation, negligence. In consideration of the acceptance of my entry to the FLL event, I hereby for myself, my heirs, executors and administrators: (i) waive any and all rights and claim for damages sustained by me as a result of this event for any cause whatsoever, including, without limitation, negligence; and (ii) release FLL from all liabilities associated therewith and indemnify them for same. I warrant that I am physically fit to participate in this event. I hereby recognize that my photograph, electronic image and/or video image may be captured during this event. I give permission to FLL to use these images through any media at any point in time. I hereby assign and transfer to FLL any and all rights, including copyright, that I may now or hereafter have on such images. By signing below, I acknowledge having read, understood and agreed to the above waiver, release and indemnity. Participant’s Signature Participant’s Full Name (Please Print Clearly) Date RELEASE WAIVER AND INDEMNITY Please accept my entry in the __________YEAR Scotiabank Toronto Waterfront Marathon. I hereby state I have conditioned myself to participate in the event(s) I have chosen. I, for myself, my heirs, executors, administrators, successors, and assigns HEREBY RELEASE, WAIVE, AND FOREVER DISCHARGE Canada Running Series Inc. (1399662 Ontario Inc.), The City of Toronto, The Toronto Police Service, The Toronto Police Services Board, The Chief of Police, The Toronto Transit Commission, the Metro Toronto Convention Centre, Oxford Properties, Toronto & Region Conservation Authority, Toronto Port Authority, Athletics Canada, OTFA, Sporting Life, Pepsi QTG, A. Lassonde Inc., SDI Marketing, The Bank of Nova Scotia (Scotiabank), Acura, A Division of Honda Canada Inc., Leukemia and Lymphoma Society of Canada, Canadian Ski Patrol System and its members, and all other associations, sanctioning bodies and sponsoring companies, and 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 HOWSOEVER CAUSED, arising or to arise by reason of my participation in the said event, whether as spectator, participant, competitor, 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 the aforesaid. I FURTHER HEREBY UNDERTAKE TO HOLD AND SAFE HARMLESS AND AGREE TO INDEMIFY all of the afor said from and against any and all liability incurred by any or all of them arising as a result of, or in any way connected with my participation in the said event. Further, I hereby agree to periodic mailings both electronic and physical from Canada Running Series Inc. (1399662 Ontario Inc.) only. Personal information collected by Canada Running Series Inc. (1399662 Ontario Inc.) is for registration and results purposes only, and will not be shared with other companies or organizations. Further I hereby grant full permission to any and all the foregoing to use any photography, video tapes, motion pictures, recordings or any other record of this event for promotional purposes. BY SUBMITTING THIS ENTRY, I ACKNOWLEDGE HAVING READ, UNDERSTOOD, AND AGREE TO THE ABOVE WAIVER, RELEASE and INDEMITY. I WARRANT that I am physically fit to participate in this event. Participant’s Signature Participant’s Full Name (Please Print Clearly) Date FOR PARTICIPANTS UNDER THE AGE OF 18 This is to certify that I am a parent/guardian with legal responsibility for the above participant. I consent and agree to: (i) the participant’s entry and participation in the FLL event; and (ii) the participant’s waiver, release and indemnity stated above. For myself, my heirs, executors and administrators, I hereby release and agree to indemnify and hold harmless the FLL Hosts from and against any and all liabilities incidental to the participant’s involvement or participation in the golf tournament, EVEN IF ARISING FROM NEGLIGENCE. Parent/Guardian’s Signature Parent/Guardian’s Full Name Date and Emergency Phone Number(s) t. 905.707.7800 | e. [email protected] | w. walk.FLL.cc.