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

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

Don

Minimum donation required.
You will receive a tax receipt for this amount.

$

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

$
TOTAL $0.00

Release of liability for IRIC and Université de Montréal

I understand that the organization, the operations and the management of Défis du Parc are the sole responsibility of Cyclo-Mauricie which has agreed to host the IRIC Great Challenges against Cancer of IRIC/Université de Montréal. IRIC and Université de Montréal are involved in the Défis du Parc with regards to the IRIC Great Challenges against Cancer and cannot be held responsible for any losses or damages incurred or caused by a participant or by his property with respect to the event of the Défis du Parc. I hereby authorize IRIC to use my name, and photograph or video taken during the event for promotional purposes of the IRIC Great Challenges against Cancer.
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.



Please verify the information entered.