Registration: 2019 Mad Moose Marathon - Junior Registration (18 Years & Younger) (2019-09-22 05:30 am)

2019 Registration Rates
Start Time Early
Until June 30, 2019
Regular
Until August 31, 2019
Late
August 23 -
September 20
  Ultra Moose Marathon 63 KM 6:00 AM $45 $55 $65
  Full Moose Marathon 7:30 AM $45 $55 $65
  Half Moose Marathon 9:30 AM $35 $40 $50
  10 KM Moose Calf 10:30 AM $30 $35 $40
  18 Years Old & Under: For The 10 KM & 1/2 Marathon   $15 $15 $15

 

 

USER INFORMATION
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This registration is for participants that are 18 years old or younger, if you need to register someone that is 19 or older please click here
First Name:
Last Name:
Gender:
Male  Female  
Address:
City:
Province:
Postal Code:
Phone:
Email:
Confirm Email:
Emergency Contact Name (First & Last):
Emergency Contact Phone #:
MMM Race Distance:
Mad Moose Marathon Running Hat - $25:
Yes  No  
1
I Am A BC Athletics Association Member (-$3):
Yes  No  


PHOTOGRAPHS AND/OR VIDEO RELEASE AND AUTHORIZATION


We are constantly updating and changing the pictures in our promotional material. As a condition of participating in The Mad Moose Marathon, Half Marathon or Ultra Marathon, I hereby irrevocably consent to and authorize the use or reproduction by the Mad Moose Ultra-Marathon, Marathon and Half Marathon Society or anyone authorized by the Mad Moose Ultra-Marathon, Marathon and Half Marathon Society, of any and all photographs or video which Mad Moose Ultra-Marathon, Marathon and Half Marathon Society or affiliate has produced of me or my child.

The photographs, negatives, video footage and copyrights thereof shall constitute the Mad Moose Ultra-Marathon, Marathon and Half Marathon Society’s sole property. This release and authorization shall be interpreted and enforced in accordance with the laws of the Province of British Columbia, Canada.

I hereby acknowledge that I have read the above PHOTOGRAPHS AND/OR VIDEO RELEASE AND AUTHORIZATION and that I understand and accept its terms.:
Yes


Waiver And Acceptance Of Risk:

NOTE: READ THE WAIVER AND ACCEPTANCE OF RISK!!
THIS DOCUMENT ONCE SIGNED WILL SIGNIFICANTLY AFFECT YOUR LEGAL RIGHTS AND YOUR ABILITY TO SUE FOR COMPENSATION FOR INJURIES OR DEATH . THIS IS A DIFFICULT RACE . WE WARNED YOU!

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 including negligence for damages and causes of suit of action, that I have or may at any time have against the Mad Moose Marathon committee, officials, and volunteers and all sponsors of the Mad Moose Marathon Race Event, including but not limited to, Richard M Stewart, Richard M Stewart Law Corporation, Mad Moose Ultra-Marathon, Marathon and Half Marathon Society, Shayne Hoehn, Patricia Stewart, Mary Katherine Stewart, Michelle Hoehn, Caledonia Nordic Ski Club, Canadian Ski Patrol Systems and all its members, University of Northern British Columbia, City of Prince George, Cranbrook Hill Greenway Society, John Elmslie, Quatro Resources Ltd., Dan Willmann, Prince George Roadrunners and all of its members, Stride & Glide Sports LTD., HER MAJESTY THE QUEEN IN RIGHT OF THE PROVINCE OF BRITISH COLUMBIA as represented by the Minister responsible for the Land Act, for any and all injuries, losses or death suffered by me as a result of my participation in this event. I attest that I am physically fit, am aware of the dangers and precautions that must be taken when trail running and competing in this ultra marathon, marathon, half marathon or 10 KM with the possibility of hazards including but not limited to rough ground, poor footing, mud, rocks, wildlife and domestic animal encounters, getting lost, weather changes, and limited race aid support as well as possible delays in receiving medical attention in the event of injury, and have sufficiently trained for the completion of this event.

I have read and agree with the above waiver:
Yes
Age On Race Day:
Birth Date (DD-MM-YYYY):
PARENT/GUARDIAN SIGNATURE (IF ENTRANT UNDER 19):