VIP Brunch Mount-Royal Tour

Registration form

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:
$

Jersey (included in registration costs)
Cycling Jersey XS S M L XL 2XL 3XL
Women
Men
Running Jersey
Women
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

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.


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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