$18.00 Pre-Registration (includes t

NEW THIS YEAR -1 Mile Run/Walk
Wapakoneta, Ohio - Saturday, July 4th, 2015 5K - 9:00 a.m. Start
1 Mile Run/Walk - 8:00 a.m. Start Registration begins at 7:00 a.m. Hosted by:
Friends of the Wapakoneta Public Library & St. Joseph Festival COURSE:
5K – Starts & finishes at the Auglaize County Fairgrounds. Registration will be near the
Commercial Bldg at the North end. The race starts at the front gate of the fairgrounds, continues
throughout Wapak.
1 Mile - Run or Walk 1 mile through the fairgrounds property. Course time limit for Fun Run is 40 minutes. Everyone receives an award & entry for door prizes. AWARDS:
NEW THIS YEAR - Cash awards to the top male & female. Prizes for most patriotic. Medals to the top
three male and female runners in each age group (age groups - 0‐3, 4‐7, 8‐10, 11‐13, 14-19, 20-24, 25-29,
30-34...65-69, 70 & Over) $18.00
COST:
Pre-Registration (includes t-shirt) Pre-Registration postmarked by June 15th, 2015 (Pre-register to secure your shirt. No shirts will be mailed after the race, and no refunds.) $22.00
After June 15th and day of race (no t-shirt guaranteed) HOW TO REGISTER: Register online at www.speedy-feet.com (select “races” tab) ($18.00 Registration Fee + $1.95 Online Processing Fee) Or…
Return entry to: FIRECRACKER 5K, 1301 Bellefontaine St., Wapakoneta,
OH 45895 Make checks payable to: WAPAKONETA FIRECRACKER 5K
FUN: Door prizes drawings, special treats, & goodie bags for everyone registered St. Joseph Festival BEER TENT will be OPEN following the race For more information, Barb Harrod (419-738-7983) or Beth Steiner (419-738-4054) or
email: [email protected] ------------------------------------------------------------------------------------------------------------------------------------------- WAPAKONETA FIRECRACKER 5K & 1 Mile Run/Walk
PLEASE PRINT
NAME: ___________________________________________ Choose: _____5K
_____1 Mile BIRTH DATE (MM/DD/YYYY) ____________________
AGE: (race day) __________ ADDRESS: ________________________________________
PHONE #: ______________________ CITY, STATE: _____________________________________________
ZIP: _______________ EMAIL ADDRESS: ___________________________________________
Gender: (circle) Male
Female SHIRT SIZE: (circle) ADULT - S M L XL
XXL ($2 extra) Child Size - S M L XL
EMERGENCY CONTACT NAME_______________________________ PHONE#_____________________ I hereby release Friends of the Wapakoneta Library, St. Joseph Catholic Church and St. Joseph Parish Festival, Auglaize County
Public District Library (ACPDL), all sponsors, coordinating groups, and all individuals associated with St. Joseph Parish, ACPDL,
and their representatives, from any and all claims that may arise as a result of my participation in this event. I certify that I am
physically fit and assume all risks associated with my participation in this event. DATE- ___________________
SIGNATURE- __________________________________________________ (Parent signature if entrant is under 18)