2017 Registration form
Race Day - Tuesday, July 4, 2017
Two Rivers Park - Glenwood Springs, Colorado
Sign-in starts at 7:00AM RACE at 8:00AM
Cost: Adults (18 yrs+) = $20.00, 17 & under = $10.00 before July 1st
Race Day costs? $25 and $15 Make check to: Lions Club Firekracker 4K.
Last name (PRINT) _____________________________________________ First name___________________________
Phone no._____________________________ email_________________________________________
Male____ Female____ age on 7/4/2017_______________
Tee shirts available on limited basis
Race day late Registration: 7:00AM – 7:45AM Bib no. _________
(will be assigned)
Mail this registration Lions Club Firekracker 4K
and payment to: 213 Pine St.
Glenwood Springs, CO 81601
(by June 27 to assure delivery)
I acknowledge Waiver of Responsibility of race directors, organizers, volunteers and sponsors of the race for any damages or injuries caused by my participation in this event. I am responsible for my own safety.
Signature of participant, parent or guardian if under 18 years.
Questions?? Please contact Darrell Stanley, [email protected], 970-618-0596
Additional information, including directions, at http://firekracker4K.webs.com
The Glenwood Springs Lions Club wishes to THANK Alpine Bank, Berthod Motors, Bighorn Toyota, Downtown Drug, Dalby,Wendland & Co. P.C., Glenwood Caverns Adventure Park, Glenwood Hot Springs, Glenwood Insurance, Glenwood Springs Ford, Grande Optics, Iron Mountain Hot Springs, Mountain Chevrolet,
Post Independent, Roaring Fork Furniture, Roaring Fork Liquors, Sandy's Office Supply, 20/20 EyeCare,
Valley View Hospital, Independence Run & Hike, and Walmart for their generous sponsorship and commitment to our community.