The race starts on Market Street in Berwick and goes north along that street for about a mile before turning onto Summerhill Road, which becomes Foundryville Road as it goes through the municipality of Foundryville. After passing through Foundryville around mile 2, it goes up a very long and steep hill known as "The Hill". After cresting the hill around mile 3.5, it heads mostly downhill to the halfway point where it turns onto Kachinka Hollow Road and continues descending to Martzville Road at mile 7. The course follows Martzville Road back to Market Street, and then after a mile on Market Street. However, from 1946 to 1954, the race finished at Crispin Field in Berwick.
