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l fc v v i7 i i f economist sunjsiouffville tribune saturday april 222000 4600 highway 7 unionville best of luck to all the participants arctf the hospital pledge fomjvi 3 irand wbwi for a your office school supplies markville mall 9054776660 last name teamschool name address first name iji city prov postal code phone how did you learn about our race why are you participating male femaled age years participated- entry form please complete one entry form per individual m last name first namelllljir w address 1 sr jx3fzdsj 7700 brimley rd at14th avenue- markham v 9059408990 sponsors name addresscity pc phone pledged collected cashcheq receiptreqd john smith sample 55 john street m5v3p6 1234567 2500 2500 cash jyes v total collected fundraisers signature f amount forwarded date- i tis form may be photocopied r 5 contributions of 10 or more will receive a receipt by maiblf requested postal code phone j d male female age years participated ll team or school category in check here if you are a member of a teafnscriobu i if tmrnhl jtnr c 1 r i 1 f j registration fees no refunds will be issued in20if received by april 182000 m d 30 if received after apnl 1 8thj 2000 scl j u preschool elementary sphool children j free of charge not eligible tor free tshirt 1- jd25oteam payment method p h i l tv amex d mc cash cheque l bestofluck k jt6ihe2hipspital 1 pf iano theigarticipahts 12944925 j of woptten vay il lvatkemaydrr v it zt v members of 4 gojuncd aac t p w i rafthe town of 1 markham rehcourage you to support event information date i sunday apnl 30 2000 1 0 00 a m sharp place legacy community at 9th line and 14tti avenue markham registration fees 2000byapnl182000 5 v 30 00 after apnl 182000 s elementary preschbol children are free 1 j not eligible for free tshirt team entry fee maximum 5 people 250 00 how to register 3 register in person at the richmond hiii running room 8900 yonge st unit 1 richmond hill r 5t register in person at markham stouffviltehospital foundation office mondayfnday 8 30 am to 4 30pm j mail your entry form post marked by apnl 17th to markham stouffville hospital foundation 381 church street po box 1800 makham ontano l3p 7p3 fax entry form to markham stouffville hospital foundation fax 905 472701 8 with credit card r event day 8 00 to 9 30 a m at the registration tent payment cash cheque visa mastercard or amex for more information call 905 4727373 ext 3777 or contact the richmond hill running room store at 8900 yongesl unit 1 905764-7255- race kit tshirt pickup race kit tshirt long sleeved pickup at running room store richmond hill location onfy apnl 26thlo 28th 1000am to 8 30 p m and sat apnl 29 10 00 to 5 30 p m race day at the registration tent race kits and tshirts for first 1000 registered participants race day activities parking free parking will be available on site a rnal registration individual pledge drop off 800 a m to 9 30 am at the registration and pledge tent onsite warm up 9 40 a m start of run 1000 a m sharp t awards party immediately following thevace post event food refreshments willbe available to all participants upon presentation of iheirrace number card j name oncardi i expiry date y j signature u v m prizes prizes will be awarded to the top threemale and female finishers in the following categones open secondary school s elementary school r the top two male and female finishers in the 1 following age groups- 1 9 30 4049 50 the fastest team x v s 1 i il it torj pledge collecting team r the top pledge collecting adult and youth tinder 18 2000 legacy runwalk release indemnity release waiver and indemnity in consideration of the acceptance of my i application and the permission to participate as an entrant or competitor in it the legacy 5k runwalk i for myself my riarstexecutors administrators k successors and assigns hereby release waive and forever i i discharge the sanctioning bodies and sponsonng companies the ontano road runners association and the ontano track and field association from any and all claims demands damages costs expenses action and causes of acton wttettierjnjaw or equity in respect of death injury loss or damage to my person orproperty howsoever caused j wising or to anse by reason of myparhapation in thesaid event whether as i va spectator parbapant competitor or otherwise whether pnorto dunng js i or subsequent to the event and notwithstanding that the same may j have been contnbuted to or occasioned by the negligence of any of the aforesaid i hereby undertake to hold and save harmless and jj j agree to indemnity all of me aforesaid from and against any or all of i them arising as a result of or in any way connected with my participation in phisevent by submitting this entry i acknowledge having f read understood and agreed to the above waiver release and s i indemnity i warrantuiat i am physidallyfiuopartiapateinthisevenl l signature jj parentgluardian- if under ia yrs j ifi pledge incentpvts sponsored by v n vv imrkham- stouffville hospitals legacy w fi arkham ntbt ufjlu of excellence 1 markhambowling 5762 lshvvay7 unithbj markham ontario 905294556- bnidbs nt pledge icetie school progrvim see school program flyer for details f i i k t v the school program is generously supported by canadian tire corp stock transport and by the unionville mens slo pitch league i elementary schools raising 1 000 or more in pledges win receive a canadian tire gift certficale for 500 00 secondary schools raising 2000 or more in pledges will receive a canadian tire gift certificate for 500 00 f stock transport will provide 500 vouchers to the elementary school and secondary school with the highest pledges the top h participating largest number ol participants school win also receive a 500 00 voucher t each student with pledge sheets inpy april 18th will receive one lucky draw ticket for every 50 in pledges they will be f t entered into a draw for a trip for 4 to disney world generously donated by the unionville mens slo pitch league the draw will take place immediately after the race j vr jaii participants are eligible for one of the following rewards based on theirtotal pledges collected with 50 or more event baseball cap with 1 00 or more brooks sports bag with 150 or more brookshjking shoes x 3 with 250 or more brooks golf jacket and pants with 500 of more receive a brooks golf jacket pants and running shoes v vvith 750or more brooks3 in 1arka s with 1 000 or more any two from above list eligible winners will be given wntten confirmation vana details of how to receive their reward from brooks l individual pledges of 1 0 00 or more received by 930 a mon race day will be mailed a tax receipt if requested v k l proceeds from this event will be allocated to the markham stouffville hospital cardiac equipment fund for an echocardiology machine- n team chvllenges cinhnilc and ommunitv seeteam flyer for details p v i k i 1 r to enter complete one entry jorm for each team member 5 maximum and submit allteam entries together with registration fees by april 18th to- j markham stpuffyule hospital foundation teams are a maximumof 5 peoplef if yduaye entering several teams please submit all of the teams of 5 together pledge prizeeligibihty will be based on the total pledge amount of each individual tearri prizes categories top pledge collecting team and fastestteampnzes sun microsystem sponsored souvenir watch for more information or to request a team package contact 9054727000ext 66067 s omario road runners vssoci ahon7 ontario track meld association the rurt walk is pleased to be anj ora and ontano track and field association accredited race accreditation no 2034 mike or helen tel 416 4793571 fax 41 b 4798621 i m h fishmal r 5051highway7 stofie 9 f isjlxrkam ont r vc wholesale and retail pivrtypiatters by order xuvtbli lobster r fresh frozen shrimps sc fish h sii u p l fs fchih tiimmm v iw 9t li qua plecuivid tv sesivd fr- tiano loimae banquet facilities mit 14tftkdhzlhuonvilie 4 77rll 61 am