To register online click on link at the bottom of the home page.

To Register via Mail: 

Fill out the following form and mail to:                       S.R.Thornton, 843 Dogwood Court, Pottstown, PA 19464

Please make checks out to:  Polka Dot Jersey Challenge

Name:______________________________________________________

Address:____________________________________City:___________________State:_____Zip:___________

Phone:_______________________ Email address:____________________

Registration Fees:

• By August 30                          $25
• After August 30                       $30
• 16 Years or under                   $20
• Picnic Only                              $20
• Donation                                 $________

Event Options:  (please check those that apply)

______  45 Mile Challenge Ride

______ 25 Mile Challenge Ride

______ 3 Mile Fitness Park Stride

______ Picnic Only