Firecracker 5K race form

Early Registration is closed. You can still register for the race from 6:45-7:30 at Manistee High School on race day.

Manistee Firecracker 5K

5K Run/Walk & 1K Fun Run

Saturday, July 3rd, 2010

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Start times:

8:00 a.m. – 1K fun run

8:15 a.m. – 5K run/walk

Place:

Manistee High School

525 12^th St. Manistee, MI

Entry Fees:

5K - $20 by June 28th

1K fun run - $10

Race Day Registration

5K - $25 / 1K - $15

Course:

The rolling 5K course enjoys a scenic loop through some of our neighborhoods and a view of the beach, all starting and finishing at Manistee High School.

Packet Pick-up and Race Day Registration:

6:45 to 7:30 a.m.

Awards:

Awards Ceremony will take place immediately following the 5K race. Categories:

• Overall First Place 5K runners Male and Female

• Overall Male and Female Masters (40+) division

• Top 3 Male & Female in each age group get awards

• Walkers – Top 5 Males and Females overall

• Fun Run awards to top 5 boys and girls finishers 12 and under

• All fun runners get a medal!

Age Divisions:

There will be 15 age group categories for men and women in the 5K run: 10-under, 11-13, 14-16, 17-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, and 70+ up

T-Shirts:

All entrants receive a 100% cotton specially designed T-shirt. Sizes are NOT guaranteed to late registrants. Shirts can be picked up the day of the race at the packet pick-up.

Donations:

Proceeds from the race support the Manistee area track programs and the construction of a new community. If you would like to pledge an additional amount above your entry fee, it would be greatly appreciated and can be tax deductible.

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Send Entry Form with Check Payable to:

Firecracker 5K Run c/o Manistee Area Public Schools, 525 12^th St. Manistee, MI, 49660

Name:____________________________________________ Gender: M / F Age(on July 3) ________

Address:______________________________ City:______________ State:_____ Zip: _______

Phone Number ___________________________ e-mail ________________________________

Event: □ 1K Fun Run □ 5K Run □ 5K Walk

($10)* ($20)* ($20)* *Add $5 after June 28^th

T-Shirt Size: □ S □ M □ L □ XL □ XXL (add $2) □ Youth S □ Youth M □ Youth L

Additional Donation Amount _________ Total enclosed _________

Release form: I know that running a road race is a potentially hazardous activity. I should not enter and participate unless I am medically able and properly trained. I understand that traffic will be controlled but I am ultimately responsible for my own safety. Having read this waiver and knowing these facts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the Manistee Area Public Schools, National Forest Festival officials, volunteers, all city, county, and state governments, and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event.

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Signature Date Parent’s Signature if entrant is under 18 yrs.

(this form may be duplicated)