FIRECRACKER 5000
JULY 1, 2006 7:30 AM

New Course Location: Starts at Dewey Short trail - Hwy 165 - Park at visitor's center by the Showboat Branson Belle.

Course: Out & Back

Information: (417) 593-5257 or chris@bransontourismcenter.com

Website: www.joggler.com

Entry Fee: 5k: $12 pre-registration / $15 race day
or
1 mile $8 pre-registration / $10 race day

EARLY REGISTRATION DEADLINE IS 06/30/06

Registration: Fee is non-refundable, the race will be held rain or shine.  T-shirts to the first 100 entrants.  Same day registration 6:30 am - 7:15 am

Awards: Overall male and female$50.00.  Masters male and female $50.00 as well as 1st, 2nd, 3rd medals in each division.  Plus extra prizes to be given away

Make Check Payable To:  Branson Tourism Center

Send to:
220 Branson Hills Parkway
Branson, MO 65615

Packet Pick-Up: Friday 06/30 1pm-8pm - Branson Tourism Center next to Target/Home Depot.

-----------------------------------------------------------ENTRY FORM: FIRECRACKER-5000

NAME:_______________________________________________
ADDRESS:____________________________________________
CITY:________________________ STATE:______ ZIP:________
PHONE: (____) ______________

I, HERBY, FOR MAYSELF AND MY HEIRS, WAIVE ANY AND ALL RIGHTS FOR CLAIMS ON THIS EVENT OF INJURY. I ALSO RELEASE AND HOLD HARMLESS ANY SPONSORS OR ORGANIZERS OF THIS EVENT. I, BY SIGNING BELOW, SPECIFY THAT I AM IN ACCEPTABLE SHAPE AND MEDICAL CONDITION TO COMPETE IN THIS RACE. I WILL DO MAY BEST TO FOLLOW THE COURSE AND NOT BE OFFENSIVE TO OTHERS WHILE COMPETING IN THE RACE. I AM OF SOUND MIND AND BODY TO PARTICIPATE IN THIS EVENT.

_________________________________________________________________________
SIGNATURE OF ATHLETE/PARENTS (IF UNDER 18 YEARS OF AGE

SHIRT SIZE: (CIRCLE ONE) SMALL - MEDIUM - LARGE - XLARGE

417-593-5257 CALL COACH ESSICK IF YOU HAVE QUESTIONS.