Registration with the Marathon of the (CRDM) Foundation

The red fields are mandatory, please check that they are properly filled.

I would like to register
as an individual

I would like to
create a new team

I would like to join
an existing team

By creating a team you will be considered to be the designated head of this team. Therefore, it is with you that the CRDM Foundation will communicate with any questions.

Create a name for your team that is easily recognizable and a password that you can later pass to your team members.

Team Name :
(Maximum 35 caracters including spaces)
(ex : Pierre Tremblay's team, Team Business, The blue rabbit Team)

Password: (6 letters or numbers)

Total fundraising goal for your team:
$ (minimum 300$) You will be able to adjust the amount of your goal by the number of teammates that will add to it (by contacting the CRDM Foundation).

I understand that the Foundation CRDM can be hold a deficit with this fundraising activity and I agree to pay myself minimum $ 150 related to my enrollment in the team if it failed to collect the minimum is $ 150 per participant.

Important notice: each person who joins your team commits the same way as you to pay the minimum $ 150 required for registration in your team.

J'ai compris

Participants in teams must collect $ 150 minimum per person. So for a team of 10 runners, the minimum target will be $1,500. The team is unified in achieving its fundraising goal.

Select the name of the team that the manager has sent you
and enter the password.

Name of the team :

Password transmitted: (6 letters or numbers)

Language :

Gender:

First name:

Last name:

Business/Organisation:

Title:

I am an employee of CRDM-IU

Distance	Tarifs Fondation CRDM		Marathon de Montréal (Taxes et frais inclus)
	Jusqu’au 15 juin (Taxes et frais inclus)	Après le 15 juin (Taxes et frais inclus)	Marathon de Montréal (Taxes et frais inclus)
5 Km	40$	45$	66$
10 Km	50$	60$	95$
Demi-Marathon	70$	80$	130$
Marathon	90$	100$	153$

Date of birth:

Select your distance:

5 km 10 km 21 km 42 km

T-shirt size : S M L XL

Estimated time for your race:
Hours - Minutes - Seconds

Contact person in case of medical emergency:

Link with that person:

Phone number of that person:

Your personal objective of fundraising:
$ (minimum 150 $ per runner)

My objectif of fundraisings:
$ (minimum 150 $)

I understand that the CRDM Foundation may incur a deficit with this fundraising activity, and I agree to pay the $150 minimum when my jersey number is handed in, in the event I was unable to raise the amount through donations.

I agree

Your personal fundraising goal:
$ (minimum 150 $ per runner.)

I agree

Once your registration is complete, you may add a descriptive text and a photo to your profile.

I prefer to download the registration form and submit it by mail to the Fondation du Centre de Réadaptation en Dépendance de Montréal.

I prefer to download the registration form and submit it by mail to the Fondation du Centre de Réadaptation en Dépendance de Montréal..

Username and password(to access your profile)*

User Email address
*

This e-mail address will be used to open sessions, confirm information as well as to periodically receive informational material from the CRDM Foundation. Under no circumstances will this email address be publicly disclosed.

Create a password (6-8 caracters)
*

Confirm the password
*

Your contact information
	Information required for tax receipts send-off
Address:	*
nbsp;Apartment:
City:	*
Province:	*
Country:	*
Postal code:	(ex: H2K2H2 without space)
Phone:	* ext.:
Fax:

Where have you heard about our activity?

The CRDM Foundation reserves the right to withdraw any content it deems inappropriate.

Please read the authorization paragraph below and indicate your consent by checking the I agree box..

Autorisation

I hereby authorize the CRDM Foundation to use photos taken during the event. I agree to release the CRDM Foundation, entity responsible for the event, the organization committee, volunteers, sponsors, partners and their employees, as well as any other persons taking part in the activity, of any liability regarding loss, damage or injury I may sustain as participant in the activity, and I forfeit any rights in this regard.

RESPONSIBILITIES

Rules of the Marathon of the CRDM Foundation event

The participant agrees to respect all instructions and guidelines relating to the activity. Moreover, the participant agrees to release the CRDM Foundation, entity responsible for the event, the organization committee, volunteers, sponsors, partners and their employees, as well as any other persons taking part in the activity, of any liability regarding loss, damage or injury he or she may sustain as participant in the activity. The participant also agrees to be sure he or she is in good physical condition before taking part in the Marathon of the CRDM Foundation. The Fondation du Centre de réadaptation en dépendance de Montréal may not be held liable in the event of any physical injury incident that may occur during the Marathon.

J'accepte

The red fields are mandatory
please check that they are properly filled.

All fields marked with an asterisk * are required.