Name *

First Name

Last Name

Condition *

By this entry, I agree that the fees paid are not refundable or transferable to any cancellation of the activity, whatever the cause, including force majeure. I declare to have the physical abilities to participate in the activity and accepts in full knowledge, to expose myself to all the risks that arise from it. I recognize as well, both in my name as my heirs and assigns, I will have no recourse or right of action to enforce against all members and Volunteering in the organization of the race and walk of the Défi DMLA of the Fondation Pierre Brise-Bois and its partners for any damage, loss or expense arising from the occurrence of the risks to which I expose myself voluntarily agreed to by participating in the activity. I also acknowledge that my image, while participating in the activity can be recorded either by video or photo, and consent to the use by the organizer of the event, without any compensation, from my name, my results, my age category and my image, in any form, in newspapers, brochures, promotional material and other media.

I accept