Or print this form and Mail In Registration with check to:   
                  
Mail-In Registration
Make Checks Payable to Pocono Greyhound Adoption                            Greyt Hound Hustle
Contact Tammy with any questions at                                                 P.O.  Box # 125
Greytlycrazy13@gmail.com                                                     Quakake, PA 18245
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Name: ____________________________________________ Gender: _________   Age: _______
Street: ________________________________________________                  Circle Shirt Size          
City: _______________ State: ______________ Zip: ___________   Youth: S   M   L   Adult: S   M   L   XL
Phone Number: __________________ Email: __________________          Circle One:    RUN    WALK
Waiver: In signing this entry I, for myself, my heirs, executors, and administrators release PGA and all of its representatives, sponsors, and Tuscarora State Park, from any and all injuries, damages and/or claims of description which might arise from this event. I have read and understand the aforementioned release and sign it voluntarily. I attest that I am fit, able, and capable of running this race.
Signature ____________________________________

Date ________________