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30 - The Oakville Beaver, Wednesday May 17, 2006 Presented by 2006 Volunteers Needed Sunday, June 18th, 2006 - Father's Day Rain or Shine 8:45 a.m. Warm Up & Fun Run 9:00 a.m. Run/Power Walk 9:15 a.m. Walk Father's Day Breakfast following the Race ($5.00 per breakfast) N FOR 2 0 06 EW 1 Km Fun Run Location: Wallace Park, between Reynolds and Allan, just south of the Hospital. All proceeds go to the Oakville-Trafalgar Memorial Hospital Intensive Care Unit (ICU) Medals and Prizes for Runners and Power Walkers in · "Open" · "Masters" · Age Categories from 10 to 70+ All registered participants in the Run or Walk will receive an Event T-Shirt Registration Online at: www.otmhclassic.com Entry Form One entry form should be completed for each participant or per family entrant. First Name:* Address:* City:* Postal Code:* Male Last Name:* Prov.:* Phone #:* Age:* Female (Age required to be eligible for race prizes) (*) indicates required field or www.eventsrunningroom.com Registration & Pledge Forms available at: OTMH Main Lobby - 327 Reynolds Street, Oakville Oak-land Ford Lincoln - 570 Trafalgar Road, Oakville The Running Room - 156 Lakeshore Rd. East, Oakville Or call: Aleta Mayer at 905-845-2571 ext. 4351 E-mail: amayer@haltonhealthcare.on.ca Come out and enjoy local celebrities, music, children's activities, raffles, clowns, refreshments and more!!! Sponsors and Supporters The Oakville Hospital Foundation invites you to join Oak-land Ford Lincoln and Ford Motor Company in supporting this worthy cause by either sponsoring or by participating in the run or walk and by pledging donations through your colleagues and friends. Registration Fees For Run & Walk (no refunds) Note: All participants receive an event T-shirt. Please check: 5km Run 5km Power Walk 3km Walk 1km fun run, children 10 & under $5 (t-shirt) Adults and children age 15 and over: $25 $10 After June 6th After June 6th $35 $15 Children age 14 and under: Family of 4: (maximum 2 aged 15 & over - $10 extra per additional child) $50 After June 6th $80 NAME 1 2 3 4 SEX AGE EVENT BIB # SIGNATURE if 18 yrs or older Payment Options VISA Card#: Name on Card: Amount: Signature: MC AMEX CASH Expiry Date: month CHEQUE / year (Cheques payable to Oakville Hospital Foundation) Presenting Sponsors Silver Sponsors Bronze Sponsors 2006 CLASSIC WALK/RUN RELEASE & INDEMNITY In consideration of the acceptance and the permission to participate as an entrant or competitor in the 2006 Classic Walk/Run I, for myself, my heirs, executors, administrators, successors and assigns HEREBY RELEASE, WAIVE, AND FOREVER DISCHARGE Oakville Hospital Foundation, Oakville-Trafalgar Memorial Hospital, the organizers and sponsoring companies from any and all claims, demands, injury, loss or damages, costs, expenses, action, and causes of action whether in law or equity, in respect of death, injury, loss or damage to my person or property HOWSOEVER CAUSED, arising or to arise by reason of my participation in the said event, whether as a spectator, participant, competitor; whether prior to, during, or subsequent to the event AND NOTWITHSTANDING that the same may have been contributed to or occasioned by the negligence of any of the aforesaid. I HEREBY UNDERTAKE TO HOLD AND SAVE HARMLESS AND AGREE TO INDEMNIFY all of the aforesaid from and against any or all liability incurred by any or all of them arising as a result of or in any way connected with my participation in this event. BY SUBMITTING THIS ENTRY, I ACKNOWLEDGE HAVING READ, UNDERSTOOD, AND AGREED to the above WAIVER, RELEASE, and INDEMNITY, I WARRANT that I am physically fit to participate in this event. If this registration is a family registration and one or some of the participants is/are under the age of 18 years, I, being the responsible parent/guardian for such participant(s) under the age of 18 years, agree that the foregoing consent and release will apply on behalf of such participant(s) under the age of 18 years. I give full permission for the use of my name, photograph, electronic and video image by any of the parties (as defined above). Oakville Hospital Foundation, respects your privacy and we protect your personal information. We do not rent, sell or trade our mailing lists. The information you provide will be used to keep you informed of the Foundation's fundraising opportunities. If you would like to be removed from our contact list, please call us at 905-338-4642. Gold Sponsors Oakville Curling Club IMAGE & MORE Community Sponsors · Blue Line Distribution Ltd. · Cogeco Cable · D'Orazio Infrastructure Group · Franklin Templeton · Genex General Exhibition Corporation · Home Depot · Lulu Lemon · Mattamy Homes · Naylor Group · Oakville Blueprinting & Copy Centre · Oakville Hydro · Oakville Italian Club · Price WaterhouseCoopers · Prudential Realty · Royal LePage · Scotiabank · Whole Foods Market · Wow Power Walking Single Entrant Signature: Family Entrant Signature: Parent/Guardian: (if under 18 yrs.)