THIS RACE WILL BE CHIP TIMED!
The 2016 Firecracker 5K is sponsored by the Baudette-Lake of the Woods Chamber of Commerce and CHI LakeWood Health.
Proceeds from the 5K go towards Fourth of July Celebration Fireworks.
5K fun run/walk registration and racer bag pick-up begins at 7:30 a.m. on Monday, July 4, 2016 at Lake of the Woods
th
School located at 236 15 Ave SW in Baudette. Trophies awarded for first place male and female finishers. Medals
awarded for top three in each of seven age groups. Using alternate route due to road construction – pavement, gravel
and paved bike path.
**Racer bag and t-shirts are guaranteed to racers who are pre-registered by Friday, June 24, 2016.**
If you are not pre-registered you will not receive a bag and are not guaranteed a t-shirt and/or shirt size– race fee will be the same with or without a shirt.
Child participants: If a child is in a stroller, no entry fee is required. All participants, including children, who are walking or
running in the race, are required to pay the entry fee. Bicycles and rollerblades are not permitted on the race route.
5K ENTRY FEE: $25.00 (no refunds unless race is cancelled). The entry fee includes a Fourth of July button, if postmarked
by Friday, June 24. The button (valued at $5) enters participants in a drawing for a chance at winning Chamber Bucks and
other prizes sponsored by the Baudette—Lake of the Woods Chamber of Commerce.
Questions may be directed to Jaime Boretski at 218-634-3486 or [email protected]
Online registration is available for $26.50 at www.baudettelakeofthewoodschamber.com
MAIL CHECKS PAYABLE TO:
Baudette-Lake of the Woods Chamber of Commerce
PO Box 659
Baudette, MN 56623
Firecracker 5K
July 4, 2016
Name: ___________________________________________________________
Address: __________________________________________________________
City: ____________________________ State/Prov: _____________ ZIP/Postal Code: ____________
Phone: (
) ______________________________ Age Race Day: _________ Gender: ____________
Email:_____________________________________________________________________________
Circle T-Shirt Size:
Youth Medium - Adult Small - Adult Medium – Adult Large - Adult X/Large - Adult 2X/Large
I am entering this event at my own risk and assume all responsibility for injuries I may incur as a direct or indirect result of
my participation in the event. I also agree not to hold any and all participating sponsors or directors responsible for any
claims. I verify I have full knowledge of the risks involved in this event, and I am physically fit and sufficiently trained to
participate in this 3.1-mile run/walk. I hereby authorize photographs taken of me at this event, and my name for use in
the printed publications and online media.
SIGNATURE _______________________________________________________________
DATE ___________
SIGNATURE OF PARENT/GUARDIAN IF UNDER 18 ______________________________________________________