6th Annual Firecracker 5k Run/Walk
Dieterich Memorial Park
Wednesday, July 4th, 2012
Mail-In Registration Form
All proceeds to the Dieterich Community Education Foundation
Registration: Dieterich Memorial Park Pavilion, the day of the event from 7:00 a.m. to 7:45 a.m.
ENTRY FEE: $20.00 – if received by June 25, 2012, guaranteed an event, active fit, T-shirt.
All participants will be entered into the event raffle, with the top prize of $100.
Female and Male winners will be recognized from the following age divisions: 12 and under, 13-15,
16-20, 21-25, 26-30, 31-35, 36-40, 41-45, 46-50, 51-55, 56-60, 60 and over, as well as an overall male and female winner.