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Youth Running Series PEI 2020 Full Series Membership

Runner Information
Name - Runner 1
First Last
Birthdate - Runner 1*
YYYY slash MM slash DD
School Name - Runner 1
Gender Runner 1
- Male
- Female
- Prefer not to say
Division - Runner 1*
- Age 2-4 - 500m (U5 Born 2016-2018) (Preschool)
- Age 5-7 - 1 km (U8 Born 2013-2015) (Grade PreK-Grade 1)
- Age 8-10 - 1.5 km (U11 Born 2010-2012) (Grade 2-4)
- Age 11-12 - 2 km (U13 Born 2008-2009) (Grade 5-6)
Add additional family member (Runner)*
- Yes
- No
Name - Runner 2
First Last
Birthdate - Runner 2*
YYYY slash MM slash DD
School Name - Runner 2
Gender Runner 2
- Male
- Female
- Prefer not to say
Division - Runner 2*
- Age 2-4 - 500m (U5 Born 2016-2018) (Preschool)
- Age 5-7 - 1 km (U8 Born 2013-2015) (Grade PreK-Grade 1)
- Age 8-10 - 1.5 km (U11 Born 2010-2012) (Grade 2-4)
- Age 11-12 - 2 km (U13 Born 2008-2009) (Grade 5-6)
Add a third family member (Runner)*
- Yes
- No
Name - Runner 3
First Last
Birthdate - Runner 3*
YYYY slash MM slash DD
Gender Runner 3
- Male
- Female
- Prefer not to say
School Name - Runner 3
Division - Runner 3*
- Age 2-4 - 500m (U5 Born 2016-2018) (Preschool)
- Age 5-7 - 1 km (U8 Born 2013-2015) (Grade PreK-Grade 1)
- Age 8-10 - 1.5 km (U11 Born 2010-2012) (Grade 2-4)
- Age 11-12 - 2 km (U13 Born 2008-2009) (Grade 5-6)
Parent Info
Parent Name*
First Last
Address*
Street Address City ZIP / Postal Code
Email*
Participation Waiver*
- Yes
- No
In consideration with your accepting this entry, I hereby for myself, my heirs, executors, and administrators, waive and release any and all rights and claims of damage I have against the organisers holding this event, their agents, representatives, successors, and assigns, for any and all injuries suffered by me or the participant for whom I identify as parent/guardian at said event.
Photography / Video*
- Yes
- No
I further grant permission to the organisers to photograph/video me and/or the event participant for whom I identify as parent/guardian, and to disseminate photographs/videos or other race result information to the public, through any medium they so choose, from time to time.

Registration and Membership Details

$5 per youth per race for non-members (Paid at the time of the race)
$20 for full series membership per youth
$40 for full series membership per family

Payments can be made by e-transfer to youthrunningseriespei@gmail.com (No Password Required – Auto Deposit is setup)

Age / Distance

Age 2-4 – 500m (U5 Born 2016-2018) (Preschool)
Age 5-7 – 1 km (U8 Born 2013-2015) (Grade PreK-Grade 1)
Age 8-10 – 1.5 km (U11 Born 2010-2012) (Grade 2-4)
Age 11-12 – 2 km (U13 Born 2008-2009) (Grade 5-6)

Membership Benefits:

Entrance into all Youth Running Series Races
Personalized Race Bib – Post Race Snacks and Awards
A 6 week Junior Track and Field Development Program for ages 5-12
End of the Year Banquet for Members
Prizes for Top Runners in Each Race Category and for Most Dedicated Runners
Physical and Mental Benefits of Active, Healthy Children

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