2025 Fire K Registration and Payment Form

Fire K Run Registration and Payment Form

Saturday, October 11th, 2025 l Registration opens at 7:30 am Davis Elementary School l 5224 E. Morada Ln
REGISTRATION FORM PDF VERSION (view-print-download)
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address:
Notes for Fire K Run organizers: Or call 916-223-8995 (Traci's cell)
RACE PARTICIPANT WAIVER:

As a participant in the WMPFFA & MAA Fire K race on 10-11-25, I knowingly and freely assume all health risks, known and unknown, and assume full responsibility for my participation and that of my family. I for myself and on behalf of my estate, hereby release and hold harmless WMPFFA, MAA, Morada-Lodi School District. Morada Little League and all others associated with the sponsorship of this race. I also certify that I have the legal ability to consent for any minors signed up by me.
Emergency Contact Phone Number*

Area CodePhone Number

Participants: Shirts and bibs for Runners will be delivered to theWaterloo/Morada Fire Station (6925 E. Foppiano Ln) for early pick-up or at the Event. *

	Registrant's Full Name	Type run-walk-bike	Age	shirt size
Registrant 1
Registrant 2
Registrant 3
Registrant 4
Registrant 5
Registrant 6
Registrant 7
Registrant 8

Your signature (use your finger or stylus)

Clear
Please Read: Be sure to click the red submit button below to complete your registration. You may pay by Credit Card, Debit Card, or PayPal. If paying for others, please include them on the registration form. You shoulod recieve a Thank you email reply to confirm your registration. Color of shirt may be different than displayed.
My Products
prevnext( X )
MEN Adult $ Free
Entry fee plus performance men's t-shirt ($30)

Quantity
Item subtotal:$0.00

LADIES Adult$ Free
entry fee plus performance ladies v-neck t-shirt ($30)

Quantity
Item subtotal:$0.00

YOUTH 6-17 years old$25.00

Quantity
Item subtotal:$0.00

Shirt Only$16.00
Please leave your shirt size in the note section.

Quantity

Shipping Request (Optional)$9.00
Ship to out of area location. No cost for local delivery/pick-up

Total $0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

Fire K Run Registration and Payment Form