Download Report

.
.
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
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Tech-shirts with all registrations
edals for all finishers. Post Race Party
M
and Awards Cermony beginning at
noon at Sly Fox Brewery
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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 slyfoxtrackclub@gmail.com
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