Registration for Firecracker 5000

Optional OneStopRace Account
If you already have a OneStopRace Account, please enter your Email and Password.

Registration for Firecracker 5000

* First Name
* Last Name
Participant Address
* Address line 1
Address line 2
* City
* State
* Postal code
* Country
* Email Address
* Phone Number
* Birthdate
* Gender
* Shirt Sizes
* Waiver must be initialed by Participant OR Parent/Guardian of any participant under 18 years of age.

I know that running a road race is a potentially hazardous activity. I should not enter unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in this event included but not limited to: falls, contact with other participants, the effects of the weather, including high/low temperature, heat or humidity, winds and/or rain, traffic and the condition of the roads; either paved or unpaved, rural, dirt or sand, and trails, all such risk being known and appreciated by me, Having read this waiver and knowing these facts and in consideration of your accepting my entry. I for myself and anyone entitled to act on my behalf, waive and release Complete Timing and its associates, the City of Twentynine Palms, their officers, agents, employees, and participants or by-standers while utilizing the facilities and/or grounds of the City, County of San Bernardino and all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in the waiver. Further, I hereby grant full permission to any and all of the foregoing to use photographs, videotapes, motion pictures, and recordings of me, or any other record of this event, for any legitimate purpose.

Initial to agree to the above waiver:  
* Would you like to Join the Complete Timing Running Club with this entry form?
* Would you like to receive emails from Complete Timing about upcoming runs and events?

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