07/11/15 Pottstown, PA Pottstown Half Marathon
. . Half Marathon Saturday, July 11, 2015 tart 7am on Industrial Parkway S adjacent to Riverfront Park in Pottstown PA . ace Expo/Packet Pickup Friday R July 10, 2015 from 3– 7pm at Sly Fox Brewery 331 Circle of Progress Pottstown, PA . . Tech-shirts with all registrations edals for all finishers. Post Race Party M and Awards Cermony beginning at noon at Sly Fox Brewery . P asta Dinner Friday, July 10, 2015 4-8pm at Sly Fox Brewery, can pay that night or pay in advance with this form Sly Fox Track club Facts: . 1339 Lynn Drive Pottstown, PA 19464 Quick POTTSTOWN Half Marathon Presented By: Half Marathon 2014 Payment must be included with this form to be processed. NO REFUNDS. Register online with a credit card at www.pretzelcitysports.com One form per runner: Race limited to1000 runners. Please print clearly. Form must be filled out completely. q Male q Female Questions? Contact [email protected] Phone 484-941-1952 Waiver & Release: I know that running a road race is potentially hazardous activity which could cause injury or death. I should not enter and run unless I am medically able and properly trained, and by my signature, I certify that I am medically able to perform this event, and am in good health, and am properly trained. I agree to abide by any decision of a race official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever. I assume all risks associated with running in this event, including but not limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the roads. All such risks being known and appreciated by me. I understand that bicycles, skateboards, baby joggers, roller skates or blades, animals and radio headsets are not allowed in the race and I will abide by this guideline. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I for myself and anyone entitled to act on my behalf waive and release Burrough of Pottstown, Pottstown Police Department, Pottstown Memorial Medical Center, Sly Fox Brewing Company, Sly Fox Track Club, employees and volunteers and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event, even though the liability may arise out of negligence or carelessness on the part of the persons or entities named in this waiver. I further acknowledge that my entry fee is non-refundable and non-transferable. I grant permission to all of the foregoing to use my photograph, motion pictures, recordings or any other record of this event for legitimate purposes. First Name ____________________________________ Last Name ____________________________________ Address ______________________________________ City_________________________________________ State _____ Zip__________ Country_____________ Phone ( _____ ) __________________________ DOB____ /____ /_____ Race Day Age _______ E-Mail _______________________________________ HALF MARATHON q$ 60 by 3/31/15 for Non-SFTC Members $50 for members q$ 70 by 7/1/15 for Non-SFTC Members $60 for members Race day registration is $80 for everyone –––––––––––––––––––––––––––––––– PASTA DINNER Friday July 10, 2015 4-8pm • Sly Fox Brewery THE PASTA DINNER IS ALL YOU CAN EAT AND COMES WITH A SIDE SALAD FOR $12 Everyone Welcome! Payment for the dinner will be acepted on site. –––––––––––––––––––––––––––––––– Please read the waiver and release on the left and sign here. ________________________(Date) ________ I have read, understand and agree to the waiver & release. May we email you about Marathon Details? q Yes q No ________________________(Date) ________ Emergency Contact _____________________________ Parent or Guardian Signature for particpants under 18 years of age. I have read, understand and agree to the waiver & release. Emergency Contact Phone ________________________ ADULT SHIRT: Size: q S q M q L q XL q XXL Entry Fee Enclosed: $_______________ Mail Checks & Money Orders Payable to: Sly Fox Track club 1339 Lynn Drive Pottstown, PA 19464
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