The COMM

Waverly Community House Logo

2021 Waverly Waddle Participant Registration Form

5K Walk/Run

Saturday, May 8, 2021

All proceeds benefit recreational programs and reopening efforts at The Comm.

Where: The Waverly Community House

1115 North Abington Road, Waverly, PA.

Parking: Waverly Community House parking lot, on street parking available.

Check in: 8:00-8:45 am on the back lawn of The Waverly Community House.

Start times: Staggered and in small groups. The first wave of runners will start at 9:00 am.

Cost: $20.00 per person ($25.00 Day of)

$12.00 for ages 12 and under ($15.00 Day of)

$35.00 for a family, 3 or more ($40.00 Day of)

Advance Registration: is encouraged to reduce day of registration lines.

Register Online: www.waverlycomm.org or at NEPARUNNER.com

Contact: [email protected] or 570-586-8191

Please feel free to contact me directly.

The Course: 5K (3.1 mile) through scenic Waverly, PA, beginning and ending at the Comm. The map is available on our website: www.waverlycomm.org.

Official Registration Includes: Electronic chip timing, and a T-shirt if registered by April 10th.

Health and Safety Guidelines: The race format will comply with current CDC guidelines. Please bring a mask for registration and where social distancing is not possible. We will be monitoring the state of the pandemic and will offer frequent updates on the status of the event.

Awards: Awards will be given to the 1st overall Male and Female runner and walker. Medals will be given for 1st and 2nd place, male and female, in each age group.

Advanced Registration Adult

$20

Age over 12 years

Advanced Registration Child

$12

Age 12 and under

Advance Registration Family

$35

3 or more people

#1 Adult Name

#1 Adult Age

#1 Adult M/F

#1 Adult will run

#1 Adult will walk

Tee Shirt Size for Adult Participant #1

#2 Adult Name

#2 Adult Age

#2 Adult M/F

#2 Adult will run

#2 Adult will walk

T-Shirt Size for Adult Participant #2

#3 Adult Name

#3 Adult Age

#3 Adult M/F

#3 Adult will run

#3 Adult will walk

T-Shirt Size for Adult Participant #3

#1 Child Name

#1 Child Age

#1 Child M/F

#1 Child will run

#1 Child will walk

T-Shirt Size for Child Participant #1

#2 Child Name

#2 Child Age

#2 Child M/F

#2 Child will run

#2 Child will walk

T-Shirt Size for Child Participant #2

#3 Child Name

#3 Child Age

#3 Child M/F

#3 Child will run

#3 Child will walk

T-Shirt Size for Child Participant #3

#1 Family Name

#1 Family Age

#1 Family M/F

#1 Family will run

#1 Family will walk

Tee Shirt Size for Family Participant #1

#2 Family Name

#2 Family Age

#2 Family M/F

#2 Family will run

#2 Family will walk

Tee Shirt Size for Family Participant #2

#3 Family Name

#3 Family Age

#3 Family M/F

#3 Family will run

#3 Family will walk

Tee shirt size for Family participant #3

#4 Family Name

#4 Family Age

#4 Family M/F

#4 Family will run

#4 Family will walk

Tee shirt size for Family participant #4

#5 Family Name

#5 Family Age

#5 Family M/F

#5 Family will run

#5 Family will walk

Tee shirt size for Family participant #5

RELEASE: All participants must agree to the following statement. If under 18, a parent or guardian must agree.

I do not, will not, hold any individual associated with "The Waverly 5k Walk/Run," " The Waverly Waddle," The Waverly Community House or its staff, Board of Trustees, volunteers, or Waverly Twp. or Commonwealth of PA, responsible for any accident or injury incurred by me while participating in this event.

I agree to the above release:

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Last Name

Mobile Number

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