2014 POLAR BEAR MARATHON REGISTRATION:

Registration:

Last Name________________________

First Name ________________________

Mailing Address____________________

Phone ___________________________

Emergency Phone _________________

Email Address ____________________

Nationality _______________________

Gender o M o F Age: _______________

o Half Marathon o Full Marathon o Ultra Marathon

T-Shirt Size: o S o M o L o XL

Med. Insurance Co. Name ____________

Medical Insurance Co. Address & phone No

___________________________________.

Next of Kin _________________________

Phone Number ______________________

Registration Deadlines & Fees:

$300 (Cdn.) due before Oct. 1, 2014 (non- refundable)

$2200 (Cdn.) due before Oct.25, 2014

Registration fees and fund-Raising for First Nation Community work, please make donations payable to Athletes in Action and mail to Albert Martens.

Payable to Athletes in Action

Cheque/Money Order – mail to address on reverse.

Runners registering for the Churchill Wild Polar Bear Photo Safari Tour receive a $1000 discount for the Polar Bear Marathon – see Churchill Wild website on back.

Sponsors & Recommendations:

...recommend this challenging run to those who want to experience Canada’s “true north, strong and free”. Enjoy the adventure and keep ahead of the polar bears.

Sir Ranulph Fiennes

DREAMCHASERS:

Discount Code: POLARBEAR at checkout for a 15% discount on non-clearance or already discounted items. Login to: http://www.tetonrunning.com

Athletes in Action invites Marathon runners to join us for a Full Marathon (42.195 km), an Ultra Marathon (50km) and a Half Marathon (21km) in the world’s Polar Bear Capital – Churchill, Manitoba, Canada on Nov. 22, 2014.

Experience a unique marathon and culture

Dates:

November 21st

fly out from Winnipeg to Churchill, MB.

November 22nd

run the Polar Bear Marathon

November 22nd

Evening Awards Dinner (inside without bears)

November 23rd

Sight-see Churchill & Study Centre

November 24th

fly back to Winnipeg, Manitoba

www.churchillwild.com

For more Info Contact

Albert Martens

408-2nd Street

Steinbach, Manitoba

R5G0V5, Canada

Email: aemart@mts.net

Phone 204-346-1345

Cell 204-371-9780

www.albertmartens.com