Conquer The Mountain Virtual Registration

Emergency Contact Name*

First Last

Emergency Contact Relationship*

Emergency Contact Phone Number*

Emergency Contact Email*

Continue to the next page to select your dates and complete payment information.

Dates & Payment

In order to secure your spot for the Adventure Weekend, we ask that you select a date and submit a non-refundable deposit of $425.00 CAD per participant. Your deposit includes the processing fee of $12.00. If you are a Canadian Resident there is a 5% GST charge that will also be invoiced to you for your deposit and the invoices following. We only have 14 spots available in total per adventure retreat.

Program Date*

Program Payment Policy*

The total Program cost is CAD$270.00 or CAD$345.00. The first payment due upon registration is CAD$187.50. There will be one invoice to follow of the remaining amount due before the start of the program. If you have to cancel your program for any reason the deposit is non refundable. The 5k &10k program cost is CAD$270.00 (plus GST for Canadian Residents) The 1/2 Marathon program cost is $345.00 (plus GST for Canadian Residents)

Waiver

Please click here to read our waiver and check the box below to agree. This is mandatory! (Link opens in a new tab)

*

I have read and agree to the above waiver

Covid-19 Self Assessment Requirement*

Difficulty breathing (e.g. struggling to breathe or speaking in single words)
Chest pain
Having a hard time waking up
Feeling confused
Losing consciousness
Mild to moderate shortness of breath
Inability to lie down because of difficulty breathing
Chronic health conditions that you are having difficulty managing because of difficulty breathing
None of the above

Please note that for the safety of everyone planning to attend our adventure we require you to complete a Covid-19 Self Assessment before attending. If you answer yes to any of the following questions please call 8-1-1 and we ask that you do not attend our adventure at this time. Are you experiencing any of the following or have you experienced any of the following symptoms in the last 14 days:

Are you experiencing cold, flu or COVID-19-like symptoms, even mild ones?*

No
Yes

Are either of you experiencing cold, flu or COVID-19-like symptoms, even mild ones? Symptoms include: Fever*, chills, cough or worsening of chronic cough, shortness of breath, sore throat, runny nose, loss of sense of smell or taste, headache, fatigue, diarrhea, loss of appetite, nausea and vomiting, muscle aches. While less common, symptoms can also include: stuffy nose, conjunctivitis (pink eye), dizziness, confusion, abdominal pain, skin rashes or discoloration of fingers or toes. Fever: Average normal body temperature taken orally is about 37°C

Have you travelled to any countries outside Canada (including the United States) within the last 14 days?*

No
Yes

Have you travelled to any countries outside Canada (including the United States) within the last 14 days?

Have either of you provided care or have had close contact with a person with confirmed COVID-19?*

No
Yes

Have either of you provided care or have had close contact with a person with confirmed COVID-19? Note: This means you would have been contacted by your health authority’s public health team.

Deposit*

Price: $ 187.50 CAD Quantity:

This deposit is non-refundable deposit of CAD$187.50 This deposit secures your spot for the chosen program date. You will be emailed details shortly and a follow up invoice with the remaining payment amount(s). Thank you so much. ***All Payments in CAD Dollars to Canadian Residents are subject to GST 5%***

GST 5%*

Price: $ 9.38 CAD Quantity:

***All Payments in CAD Dollars to Canadian Residents are subject to GST 5%***

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Enjoying and Protecting Nature

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My Running Come Back by Jenny Nielsen