26th ANNUAL LOUISBOURG RACE THROUGH TIME

SATURDAY, AUGUST 8th, 2020 

START TIME: 6:00pm at FORTRESS OF LOUISBOURG! Please be at

start line by 5:45 PM*  

Application Form

                                                 

Mail Application& Registration fee to:   “Louisbourg Race Through Time”  

                                                                         7495 Main Street, Louisbourg, N.S., B1C 1H6                                                                                                     

NAME: ______________________________________________________            RUN N.S. # (if applicable): _______________

 

ADDRESS: _______________________________________________________________________________________________

 

CITY: __________________________________ PROVINCE: _______________ POSTAL CODE: _________________

 

PHONE: ______________ GENDER: ______ DATE OF BIRTH: _______________ AGE (on race day): ______

 

EMAIL ADDRESS:________________________________ T-SHIRT SIZE: ____ (all runners receive a t-shirt)

 

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FEES ENCLOSED:     ***    ONLINE REGISTRATION AVAILABLE AT www.raceroster.com  

                  Registration Fee: $40.00 (      )      ***      Run N.S. Member Fee: $35.00 (      )

Additional Fish Chower Meal Tickets: ____ X $10.00 each = $____ (Note: Registration Fee Includes 1 meal ticket) *Vegetarian Soup Meal Option also available.

 

TOTAL MONEY ENCLOSED: $ _________ (Please make cheque payable to: Louisbourg Race Through Time)

 

PLEASE NOTE:

1)    Pre-registration Deadline: Monday, August 3th, 2020 (After this date a $10 late fee will apply).  Online registration available until 12:00noon on August 7th!

Please note: No registration available after this time & No Race Day Registration!!
2) Race kits can be picked up on race day from 3:00-5:00pm at the United Church
Louisbourg on Upper Warren Street; Race starts at the Fortress at 6:00pm sharp!

3) Max number of runners: 225; No Refunds or Deferrals will be given!

4) There will be 5 water stops situated along the race route. Race Course will close at 7:45 pm!

5) A listing of accommodations in the area will be available upon request.

 

Understanding of Risk and Release of Responsibility

I understand that participating in a road race is a potentially dangerous event. Further, the weather, footing and vehicle traffic conditions may be adverse and greatly increase the danger.

 I certify that I am medically fit to participate without risk to myself or others. I understand that I am totally responsible for my own safety.

 

In consideration of my being permitted to participate in the Louisbourg Race Through Time, I hereby remise, release and forever discharge, waive and save harmless, protect

and indemnify the Louisbourg Road Race Society, Cape Breton Regional Municipality, CBRM Recreation Department, Athletics Canada, Athletics Nova Scotia, Sport Nova Scotia,

Run Nova Scotia, any and all clubs, associations, sanctioning bodies, sponsors, participants, competitors, entrants and all respective agents, officials, volunteers, servants, and

 representatives from and against any and all kinds of action claims, costs and expenses and demands in respect of death, injury, loss or damage to my person or property

 howsoever caused as a result of my being permitted to attend or in any way take part prior to, during or subsequent to the Louisbourg Race Through Time, whether as an entrant,

 competitor, spectator or otherwise, notwithstanding that some may have been contributed to or occasioned by the negligence of any of the aforesaid, their agents, officials, servants

or representatives.

Further, I hereby grant permission to any of the above to disseminate photographs or other race result information to the public, through any medium they so choose, from time to time.

All participants become event members of Run Nova Scotia for the duration of this event.

 

By submitting this entry, I acknowledge having read, understood and agreed to the above. This document will bind my heirs, executors, administrators, successors, and assigns.

 

 

Signature____________________________________ Date: ______________________

(Parent or Guardian’s signature required, if runner is under 18 years of age)