5K FUN RUN/3K WALK REGISTRATION FORM

2014 APWA INTERNATIONAL PUBLIC WORKS CONGRESS & EXPOSITION
www.apwa.net/congress | August 17–20, 2014
Metro Toronto Convention Centre, Toronto, Ontario
5K FUN RUN/3K WALK REGISTRATION FORM
1 5K FUN RUN / 3K WALK INFO
Early Bird Registration: August 5, 2014
WHEN: Tuesday, August 19, 2014. Registration opens at 7 a.m. and race starts at 7:30 a.m.
WHERE: Toronto Island and Harbourfront
The Fun Run/Walk is being held on Toronto Island which is a unique environmental, residential and commercial component
of the City of Toronto. Our run route will provide a beautiful view back to the downtown core of the City and of Lake
Ontario. With the event on Toronto Island, we have added a little more “fun” to the Fun Run/Walk as the athletes will
board the Harbour Ferry to get to the course on the island. This is a spectacular way to see and experience the City.
A course map, transportation details and race information will be made available on the congress website.
ENTRY FEE: $30/runner + 13% HST tax for Early Bird Registration, $35/runner + 13% HST tax after August 5,
$10/child + 13% HST tax (18 and under), $100/four-person team + 13% HST tax for Early Bird Registration,
$125/four-person team + 13% HST tax after August 5.
Awards will be announced post-race and on the Congress exhibit show floor the afternoon of August 19. Awards will be
given to the top three male runners, the top three female runners and the best combined team time.
2 RESERVATION INFORMATION
Register yourself or register as a four-person team.
Last Name
First Name
3 WAIVER
By signature below, I agree to waive all claims and fully relieve the American
Public Works Association (APWA), the Ontario Public Works Association (OPWA)
and all officers, agents, or employees of APWA from liability in connection with
my participation in the event outlined above in the event of injury, accident,
illness or death occurring during or by reason of my participation in this event so
long as due diligence is exercised.
Hotel in Toronto
Signature
Organization
Date
Address
4 PAYMENT INFORMATION
CityState
Zip/Postal Code
Fun Run
Early bird
Regular
4-person Early bird
4-person Regular
Child
Country
Work Phone
Fee
$30
$35
$100
$125
$10
HST Tax (13%)
$3.90
$4.55
$13
$16.25
$1.30
Cell Phone
TOTAL ENCLOSED: $_______________
Fax
MAKE CHECKS PAYABLE TO:
Ontario Public Works Association
Total
$33.90
$39.55
$113
$141.25
$11.30
(use table above as guide)
(NOTE: If emailing form, checks must still be mailed to the address
below. Registration is not confirmed until payment is received.)
E-mail Address
Emergency Contact Name
Emergency Contact Phone Number
Shirt Size:
S
M
Activity: 5K Run
3K Walk
Team Name (teams of 4, if applicable)
L
XL
MAIL TO:
Chris Hamel
Ontario Public Works Association
1525 Cornwall Road,
Unit 22 Oakville, ON L6J 0B2
EMAIL TO:
Chris Hamel at [email protected].
QUESTIONS: Chris Hamel
(416) 577-2500
[email protected]
If you are interested in sponsoring a part of the event or have
questions please contact Chris Hamel at [email protected]
or (416) 577-2500.

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