Avon Running Entry Form - Toronto - Sunday July 5

Please print neatly – unclear or incomplete entries will affect results – both pages must be completed.

Sign me up! Choose One: 10K Run 5K Fitness Walk
Last Name First Name M.I.

Street

City Prov PC Country

Day Phone Evening Phone E-mail ____________

Date of Birth mm dd yy Age on Race Day T-Shirt Size: S M L XL

Check all that apply:

Wheelchair Participant
Avon Sales Dealer -
Account #: ________________
Avon Associate -
Branch: ________________




Mother/Daughter Team* Division - Partner's Name:
First __________ Last ______________________________
Open Team* Division.
Team Name: ______________________________________
Team Captain's Name: ______________________________
Captain's Day Phone Number: ________________________

* Each team member must fill out an individual entry. All entries must be submitted in the same envelope. Team entries must be received by race administration at least one week before race day.

Previous Best 10K Time: hr.min.sec. This is my first walk event.

AVON RUNNING - Toronto (July 5, 1998) WAIVER FORM IN CONSIDERATION of the acceptance of my application and the permission to participate as a participant or competitor in the Avon Running - Toronto 10 km race and 5 km fitness walk to be held on July 5, 1998, I, for myself, my heirs, executors, adminstrators, successors and assigns HEREBY RELEASE, WAIVE AND FOREVER DISCHARGE the Avon Canada Inc., Avon Products, Inc., the Race Director, Athletics Canada, The Running Room, The Longboat Runners, Marathon Dynamics Running Club, XSNRG Running Club, City of Toronto, the Toronto Transit Commission, the Toronto Police Services Board, the Toronto Police, the Toronto Auxilary Police Force, the Chief of Police, TEDCO, Toronto Terminals Railway, the Canadian Ski Patrol, Run Canada, the Ontario Track and Field Association, Commerce Court Development Corporation and all other associations, sanctioning bodies and sponsoring companies, and all their respective agents, officials, servants, contractors, representatives, 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. I FURTHER HEREBY UNDERTAKE TO HOLD AND SAVE HARMLESS and AGREE TO INDEMNIFY all of the aforesaid from and against any and all liability by any or all of them arising as a result of, or in any way connected with my participation in the said event. BY SUBMITTING this ENTRY, I ACKNOWLEDGE HAVING READ, UNDERSTOOD AND AGREED to the above RELEASE, WAIVER AND INDEMNITY. I WARRANT that I am physically fit to participate in this event. I grant permission to all of the foregoing parties to use my name, likenessand identity in any photographs, motion pictures, recordings or any other record of this event in perpetuity, throughout the world, in any media now known or developed later for any legitimate promotional purpose.

________________________________________________ _____________________
Signature (Parent's/Guardian's Signature if under 18 years)Date


Occupation _____________________________

Hometown Newspaper Name: ______________________ City: _____________________
Tell us your story! Have any interesting, motivating, unusual, fun stories to share? We'd like to hear.
(For promotional purposes only).
Enclosed is my entry fee: (Do not mail after June 24)

$20 until July 4

$25 on race day

$5 discount for any Avon
Sales Dealer or Associate

______ Total amount enclosed

Mail Check & Entry to:

Avon Running - Canada
Box 509, 250A Eglinton Ave. East.
Toronto, Ontario. M4P 1K0
Save race information. No confirmation sent


For Official Use Only

Bib #

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