2013 Ann Arbor Firecracker 5K Registration
Online Registration Form
2013 Ann Arbor Firecracker 5K
Race Date: July 4th, 2013

There will be a convenience fee of $3.25 per runner for order processing.

Online registration closes July 2nd, 2013 @ 6:00 pm EST

Firecracker 5K
 - 
$32.00
 - 
8:00 am

Kids Dash
 - 
$15.00
 - 
9:30 am
 - (100 Meters, Open to all kids 10 and under)
Refund Policy: NO REFUNDS unless you have been double charged or accidentally signed up more than once.
Credit Cards
The following step requires you to complete the payment process. Please do not submit your registration until you have your credit card ready.
Online Registration is currently closed.
Main Runner Information
* Indicates A REQUIRED FIELD
* First Name:
* Last Name:
* Address:
* City:
* Country:
* State:
* Province:
* State/Territory:
* Region/Territory:
* Further Defined Country:
* State/Province:
* Zip/Postal Code:
* Phone Number:
* Email:
* Date of birth:
--
* Gender:
* Shirt Size:
* Race:
Price Increase
July 3rd, 2013 @ 12:00 am EST
Current Pricing:
Firecracker 5K
 - 
$32.00
 - 
8:00 am

Kids Dash
 - 
$15.00
 - 
9:30 am

Extras and/or Discounts
Select Charity to Donate To:
Donation Amount:
$

I hereby release and hold harmless of myself, my child, and/or representatives, the City of Ann Arbor, Champions For Charity LLC, the event sponsors and organizers from liability for injuries or damages which I or my child may sustain while participating in this activity even if the injuries are caused by the sole negligence of the City or the sponsors or event organizers. I understand that I am responsible for medical coverage for me and my child.

Terms and Conditions:
I agree
A confirmation of your registration will be emailed to you immediately.
Please do not submit until you're ready to pay.
Your credit card will be charged as:
Champions For Charity LLC
3780 Santa Fe Trail
Ann Arbor, Michigan 48108
Phone: 317-376-8338
eGift Card Number:
Not a Credit Card Number.
Entered in the following format, i.e. AAAA-1234-5678-9876
4 Digit eGift Card PIN:


YOU WILL ENTER YOUR CREDIT CARD NUMBER ON THE NEXT PAGE.
Entered in the following format, i.e. 1234
If you have purchased a gift card from the company hosting this race and would like to apply it to this purchase please enter the gift card number and the PIN number that was sent to you in the boxes above.
PLEASE NOTE: Using a eGift card only applies to race registration fees. If you are making a donation or any performing any other action that costs money your eGift card will only be applied to your race registration fees. You will be taken to the payment gateway to complete the rest of your registration.
ALSO NOTE: If you are using a gift card and registering more than one runner the value on the gift card will be used during this registration process until it is depleted and the balance reaches $0.00.
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