Registration: 2017 Canadian Tire YMCA Road Race (06-04-2017 08:00 am)


2017 Registration
Early Bird
March 1-31
April 1-30
May 1-Jun 2
Last Day Price
(June 3 until 12PM)
10 KM 9:00am $40 $45 $50 $55
5 KM 9:15am $40 $45 $50 $55

Kids Colour Fun Run 11:00am
To wrap up the Road Race event sign your
kids up for the Kids Colour Fun Run! Over
150 children of all ages will run around the
track with music and COLOUR POWDER PAINT.

$10  $10  $10  $10
* All Road Race registration fees will have GST added to them   



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YMCA Race Distance:
10 KM 9:00 AM  
5 KM 9:15 AM  
Kids Colour Fun Run  
First Name:
Last Name:
Male  Female  
Postal Code:
Emergency Contact Name (First & Last):
Emergency Contact Phone #:
How Did You Hear About The YMCA Road Race:
Social Media
Radio or Newspaper
YMCA Website
I Am A BC Athletics Association Member (-$3):
Yes  No  


1. All entries are non-refundable and non-transferable.,
2. All entrants must complete the official entry form and submit the correct fee.
3. Incorrectly completed entry forms will be discarded or returned.
4. Applications for minors will only be accepted with the signature of a parent or guardian.
5. All entrants must read and sign the Release and Waiver.
6. All entrants must wear their number on the front of their chest.
7. Walkers, joggers, wheelchairs and strollers are encouraged to participate, but for safety reasons must start behind the runners.
8. Entrants agree that their name, gender, age category and photo may be published in any medium.
9. Timing chips and numbers are coded and non-transferable. Entrants agree not to switch chips.


In consideration of your accepting this entry I, the undersigned, intending to be legally bound, hereby, for myself, my family, my heirs, executors and administrators, forever waive, release and discharge any and all rights and claims for damages and causes of suit or action, that I have or may at any time have against the Family YMCA of Prince George, their employees and agents, all race committee persons, officials, volunteers, and all sponsors of the YMCA Healthy Kids Day/Road Race events, for any and all injuries or losses suffered by me as a result of participating in these events. I attest that I am physically fit, am aware of the dangers and precautions that must be taken when running or competing in warm or cold conditions, and have sufficiently trained for the completion of this event. I further hereby grant full permission to the Family YMCA of Prince George and/or agents authorized by them, to use my name and/or likeness, and/or photographs, videotapes, motion pictures, recordings, or any other record of this event, of me, for any legitimate purpose related to the YMCA Healthy Kids Day and YMCA Road Race, without any compensation to me.

I have read and agree with the above waiver:

PURPOSES: For marketing, advertising, promotional and/or communication purposes, the YMCA may, from time to time, take photographs and/or video recordings of YMCA based activities or events that include real people, which photographs and video recordings will be placed in the YMCA National Photo Bank and which may be used by any YMCA in Canada (the Purposes). For purposes of this Form, YMCA refers to the local YMCA's and YMCA-YWCA's in Canada and to YMCA Canada, the national association of local YMCA's and YMCA-YWCA's across Canada.

By signing this Form, you are consenting to the taking of photographs and/or video recordings of you by the YMCA for the Purposes, you are assigning to the YMCA, and waiving any rights you have related to, any such photographs and/or video recordings, and you are consenting to the use of any such photographs and/or video recordings, in whole or in part, by the YMCA for the Purposes.

For valuable consideration received but without any promise of remuneration, I hereby agree to allow photographs and/or video recordings to be taken of me, whether posed or candid, while I am on YMCA property and/or participating in YMCA activities or events, to be used by the YMCA in connection with the Purposes, whether on the YMCA's internet web site, in YMCA printed materials, or in any other medium (the Work Product). I confirm that the YMCA shall not be obligated to use the Work Product.

I understand that the Work Product is being created under the direction and control of the YMCA. I hereby irrevocably assign to the YMCA any and all rights, including copyright, financial or moral, that I may have in the Work Product. I agree that the YMCA has the sole worldwide ownership and rights in and to the Work Product, including copyright interests, and I acknowledge that I have no interest or ownership in the Work Product or its copyright. Photos and/or video recordings will not be sold to third parties and will not be used by third parties except in cases where a third party has been contracted by the YMCA to create the Work Product.

I agree that I will not bring or consent to others bringing a claim or action against the YMCA on the grounds that anything contained in the Work Product, or in the manner in which the Work Product is used, is defamatory, reflects adversely on me, or violates any other right whatsoever, including, rights of privacy and publicity. I hereby release and forever discharge each of the YMCA's, its officers, directors, employees, agents, partners and affiliates, and their respective heirs, executors, personal legal representatives, successors and assigns, as applicable, from all actions, claims, causes of action, suits, demands, liabilities and damages whatsoever, in law or equity, which I may have against any of them in connection with the Work Product.

I confirm that I am over the age of 18 and am competent to execute this Form and to participate in the development of the Work Product; or, to the extent that I am under the age of 18, have had my parent or guardian review this Form and consent to my participation in the creation of the Work Product on my behalf.

Any inconsistency between this Form as expressed in English and any other language shall, to the full extent permitted by applicable law, be resolved by reference to the English version. Les parties ont convenu de rediger cette entente en anglais.

By signing my name, I (or my legal guardian) acknowledge that I (or we) have carefully read and understand this Form.

I have read and agree with the above photo and video consent release form:
Age On June 4, 2017:
Date Of Birth:
Enter the Security Code:

Store Hours
Monday to Saturday: 9:30am - 6:00pm
Sunday: 11:00am - 4:00pm

Stride & Glide Sports
1671-15th Ave
Prince George, BC, V2L 3X2

Phone: (250) 612-4754 Fax: (250) 612-4758
Toll Free: (866) 612-4754

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