PracticeHard.com

Saturday December 12, 2015

8:00am

Erie Park - Corner of Walnut St & Greenwood Ave

Montclair, NJ

Please select from the following categories:

5K	5K Run/Walk - timed race with doughnuts, hot chocolate & coffee after every mile! All finishers receive a medal & a long sleeve technical tee.	$30.00
5K - USATF Member	500 point, Grand Prix, timed race with doughnuts, hot chocolate & coffee after every mile! All finishers receive a medal & a long sleeve technical tee.	$27.00

Please provide the following information on the participant. Required fields are denoted by an asterisk *.

*First Name

*Last Name

*Gender

*Birth Date

YYYY

*Address

Address

*City

*State

*Zip

County

*Country

*Phone

*E-mail

A registration confirmation will be sent to this e-mail address


Waiver	In consideration of this entry being accepted I hereby for myself, heirs, executors, and administrators waive and release any claims I may have against any and all Parties, Groups, Organizations, Volunteers, Sponsors, and (or) any Representatives involved in Montclair Bread Co 5K Doughnut Run for any and all injuries suffered by me in this event. I certify that I am physically able to compete in this event.
* I have read the above waiver and agree to terms

*Registrants will receive a long sleeve, New Balance technical race shirt in men's or women's cuts. Please select your size.

S M L XL

What is your favorite kind of doughnut?
USATF Membership Number