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2024 Firecracker 5K Registration
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First Name
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Your answer
Last Name
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Your answer
E-mail Address
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Your answer
Where will you race?
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Gridley Independence Day Celebration
At Home: Shirts will be available for pick up at Gridley City Hall after July 4th, or can be mailed for an additional $5
Age Category
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Choose
Female 10 & Under
Male 10 & Under
Female 11-17
Male 11-17
Female 18-24
Male 18-24
Female 25-34
Male 25-34
Female 35-44
Male 35-44
Female 45-54
Male 45-54
Female 55-64
Male 55-64
Female 65 and over
Male 65 and over
Phone Number
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Your answer
Emergency Contact Name
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Your answer
Emergency Contact Number
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Your answer
T-Shirt Size
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Choose
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Adult XL
Adult XXL
$20 Registration Fee
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How to Pay
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Pay at Event
Pay via PayPal ($1 charge for online payment)
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