2019 Pottstown Rock the Wall 5k and 10k
04/13/2019
 
2019 Pottstown, PA - John Doyle Rock the Wall 5k and 10k

Combination of road and trail

Details and race-day or mailable registration can be found at: https://www.pretzelcitysports.com/race-applications/
  
* First Name:   * required fields
* Last Name:
* Street Address:
* City:
* Select a State:
* Zip/Postal Code:
* Gender: Male    Female
* Age on day of race:
* Date of birth:
* Email Address:
Phone:
Best time to call: Day   Evening   Either
Already receiving Weekly Email Run Updates? Yes    No
Additional Donation for recipient of race proceeds no dollar sign
Parent/Legal Guardian Name (required if under 18 on day of race):
 
Race(s)
5k - Runner at 10:00 AM: ( $25.00 plus $3.60 service fee through 03/24/2019 , $30.00 plus $3.90 service fee through 04/10/2019 )
  Thermal Long Sleeve T-Shirt guaranteed if registered by pre reg. cut off date. Afterwards and including race day, shirts available while supplies last.
 
5k - Walker at 10:00 AM: ( $25.00 plus $3.60 service fee through 03/24/2019 , $30.00 plus $3.90 service fee through 04/10/2019 )
  Thermal Long Sleeve T-Shirt guaranteed if registered by pre reg. cut off date. Afterwards and including race day, shirts available while supplies last.
 
10k - Runner at 10:00 AM: ( $25.00 plus $3.60 service fee through 03/24/2019 , $30.00 plus $3.90 service fee through 04/10/2019 )
  Thermal Long Sleeve T-Shirt guaranteed if registered by pre reg. cut off date. Afterwards and including race day, shirts available while supplies last.
 

  WAIVER: For and in consideration of my participation in the “John Doyle Rock the Wall 4th Annual 5K and 10K, East Coventry Township, PA” (hereinafter the “Race”), I hereby agree

to the terms and conditions of this Waiver/Release and Permission to Use Image as more specifically set forth herein. I hereb y acknowledge that participation in such a

Race is an inherently dangerous activity. I understand that the risks include serious injury or death from such hazards as weather conditions, falls, contact with the road,

motor vehicle traffic, contact with other participants, the effects of the weather including heat and/or hu midity, cold, wind and wind/chill, the condition of the road, trails and

farmland and other potential hazards, foreseeable and/or unforeseeable. I acknowledge that I should not participate in the Ra ce unless I am medically able and properly

trained. I hereby waive and release any and all claims from loss, casualty, injury or death against the Race Director, Race Officials, the T ownship of East Coventry, the

County of Chester and all Race volunteers and sponsors, their supervisors, commissioners, directors, principals, any and all employees, servants and agents, their

representatives and successors and hereby further agree to assume all risks associated with participation in this Race.

Furthermore, I acknowledge that photographs, videotapes, recordings and other reproduction(s) of my image may be used for promotional purposes by the Township of

East Coventry, Directors, Officials and/or Volunteers for the Race. I hereby grant any and all necessary permission to use an y such images in any form of media, published

or unpublished, now or hereafter for any legitimate purpose. I have read and fully understand that these terms are contractua l and not a mere recital and sign this

Waiver/Release and Permission to Use Image voluntarily.

 

Shirt Type
                                                   Size
Thermal Long Sleeve T-Shirt 
     Small  Medium  Large  X-Large  XX-Large 

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