Pineknotter 5K Fall Fudge Run

Saturday, September 30, 2023, at 9:00 am, King St. Park, Northumberland PA

Sign-in & Registration at 8:00 am

Little Warrior Run starting at 10:00 am Ages 1-5 (1/4 mile), 6-8 (1/2 mile), 9-12 (1 mile)

Registration fee for the 5k run:
$20 by September 15, or $25 thereafter

Family discount: Fourth or more additional immediate family member $10 each (first 3 regular price)

The cost of the kids races are just $2,
and they can be registered for on the morning of the race.

For more information visit:
www.facebook.com/Pineknotter5kFallFudgeRun

You may register for the 5K run online by filling out the form below on this webpage. Once you complete the form, click the "Submit Registration and Proceed to Payment" button below. You will then be redirected to another page where you will be able to securely submit payment via PayPal.

If you prefer, you may instead register by printing and filling out the paper registration form.

If you are interested in sponsoring a door prize, please fill out this sponsor form.

5K Fall Fudge Run Registration

Full Name:
Street Address:
City:
State:
ZIP:
Phone Number:
Age:
Date of Birth:
Sex:	Please Select... Male Female
Shirt Size:	Please Select... S M L XL
Email:

I enter this event properly trained and in good health with the realization that such an activity is a potentially dangerous one. In consideration of this entry being accepted, I, intending to be legally bound, wave and release any and all rights and claims for injuries and illness that may occur at this event against the organization holding the event and all those conducting the event. I also give permission for photographs of me or my child to be used as needed.

Type Name for E-Signature (Parental consent if under 18)
Signature