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Hellertown Area Library

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Hellertown Area Library 5K Run / Walk

The following form allows you to register and pay for the event. You can use your credit card via a secured Internet connection using PayPal's payment system.

Your Name(*)
Please let us know your name.

Address(*)
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City(*)
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State(*)
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Zipcode(*)
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Age on Race Day(*)
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Daytime Phone(*)
Please enter telephone number including area code

Your Email
Please let us know your email address.

Shirt Size(*)
You must select a shirt size

Release: I, the undersigned, acknowledge that a road race is a potentially hazardous activity. I certify that I am medically able and have sufficiently trained for this event. I agree to abide by all the decisions of the face as final. In consideration of the acceptance of my entry and intending to be legally bound, I do hereby for myself, and anyone entitled to act on my behalf, waive, release and discharge the Hellertown Area Library Association it’s officers and staff members, and all other sponsors, and participants from any and all liabilities arising out of my participation in this event.

Certify(*)
You must certify and agree

Name of Parent or Guardian (if under 18)
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Questions? Contact Ben Rotherham, Race Director at 610-751-9395

Registration Fee(*)
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Total
0.00 USD

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