Combined VIP Brunch Package Mount-Royal Tour and Défis du Parc

Registration form

Thanks to our partnership with Défis du Parc's Team, please note that by registering with IRIC, your spot will AUTOMATICALLY BE SAVED for any of the Défis du Parc events on September 20-21, 2014 you wish to participate to.

The deadline of the registration is September 1st, 2014.

Participant

Check if you are a student of IRIC or UdeM

Team

If you would like to create a team or join an existing team, enter its name here.


Activity

Sunday, September 14, 2014

Mount Royal Tour
Cycling or running
Registration costs
Participant VIP Package
Honorary 12K tour of the official circuit of Grand Prix Cycliste de Montréal, cycling jersey, breakfast at IRIC’s Morris and Rosalind Goodman Agora, a Grand Prix Cycliste de Montréal's Pass giving access to the VIP Zone (from 3:00 pm at Jeanne-Mance Park), and a $115 donation to IRIC, breakfast at IRIC’s Morris and Rosalind Goodman Agora, and a Grand Prix Cycliste de Montréal's Pass giving access to the VIP Zone (from 3:00 pm at Jeanne-Mance Park) $300
5K foot race on Mount Royal, race jersey, breakfast at IRIC’s Morris and Rosalind Goodman Agora, a Grand Prix Cycliste de Montréal's Pass giving access to the VIP Zone (from 3:00 pm at Jeanne-Mance Park), and a $115 donation to IRIC, breakfast at IRIC’s Morris and Rosalind Goodman Agora, and a Grand Prix Cycliste de Montréal's Pass giving access to the VIP Zone (from 3:00 pm at Jeanne-Mance Park) $250
Guest Ticket
Breakfast at IRIC’s Morris and Rosalind Goodman Agora ($10 per guest)
Number of guests:
$


Saturday, September 20 and Sunday, September 21, 2014

Défis du Parc National de la Mauricie
Cycling and/or running activities
Registration costs
Acces to one or as many cycling and running courses during September, 20 and 21, 2014 week-end including the Défis du Parc entry fees, refreshment points on the circuit, one hot meal and a souvenir. $100
Road Cycling - Saturday September, 20
Vélo Mag Cyclosportive (60k)
Shawinigan Vélo Mag Cyclosportive (105k)
Nalini Vélo Mag Gran Fondo (160k)
Mountain Bike - Sunday September, 21
Desjardins Mountain Challenge (40k)
Running Events - Sunday September, 21
Asics Challenge Run (5k)
Asics Challenge Run (10k)
Asics Half-Marathon (21.1k)
Combo and Duathlon
105k cycling and 10k run Combo
105k cycling and 40k mountain bike Combo
40k mountain bike and 10k run Duathlon
Triathlon (on a 2 days period)
Triathlon
Saturday : 60k cycling
Sunday : 40k mountain bike and 5k run
Triathlon Great Challenge
Saturday : 105k cycling
Sunday : 40k mountain bike and 10k run

Jersey
Cycling Jersey XS S M L XL 2XL 3XL
Women 75 $
Men
Running Jersey
Women 25 $
Men

Donation

Additional donation to IRIC

You will receive a tax receipt for the $115 donation included in the registration costs.

You will receive a tax receipt for any additional donation made to IRIC.

$
TOTAL $0.00

Release of liability for IRIC/UdeM and Grand Prix Cycliste de Montréal

I agree to bear sole responsibility for any damage or injury of any nature to myself or others arising from my participation in the event.

I also hereby release from any liability the Institute for Research in Immunology and Cancer (IRIC), Université de Montréal, Grand Prix Cycliste de Montréal, and any individual associated with these organizations. By registering to IRIC Great Challenges against Cancer, I authorize the use of my name and any picture or video taken during the event.
I agree with the conditions of this disclaimer.

Release of liability for Défis du Parc (Cyclo-Mauricie)

I accept personal responsibility for any damage and/or injury of any kind that I may incur or inflict on others. I release from any liability or responsibility Cyclo-Mauricie, Le parc national du Canada de la Mauricie and any person linked to these two organizations.

By registering to the Défi du Parc (Cyclo-Mauricie), I hereby authorize the use of my name, and photograph or video taken during the event.

I agree with the conditions of this disclaimer.


IMPORTANT: Please, take note of your total payment. Write it down in the « amount » box on the next page, not only the donation portion.



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