9th Annual

							                                       9th Annual

           Diane Burr Memorial 5K Flag
                    Run/Walk
              Proceeds go to the Diane Burr Memorial Fund,
               To help local families cope with cancer and
                To support the Thomaston Track Facility.

Sunday, November 14, 2010                       1:00 Registration
                                                2:00 Kid's Fun Run - No entry fee
                                                2:15 5K Race/Walk

Where:      Thomaston, CT. Starting line on Clay Street behind the Thomaston
Opera House
Facilities: Restrooms are available.
For Info:   dianeburr5krace.homestead.com
            Mike Burr @ 860 283-2150 or Joyce Olsen @ 860 283-6801

Awards :       Medals awarded to all fun run participants
       Great Raffle Prizes
               1st, 2nd, 3rd places will be awarded in the following age groups.
               12 and under, 13-15, 16-19, 20-39, 40-49, 50-59, over 60
               commemorative t-shirts to the first 125 entered

Entry Fee (non-refundable):            $20.00 before Nov.8              Make Checks Payable
to:
                                       $25.00 race day                             Diane Burr
Memorial Fund
Directions:
      Rte 8 to exit 39. West off ramp into downtown Thomaston. Left at light
onto Main Street.
      Right at light onto Clay Street. Parking at Town Hall and Center School
parking lot.

Mail entry with payment to:            Joyce Olsen
                                       993 Old Northfield Road
                                       Thomaston, CT 06787



Please PRINT CLEARLY!
Please enter me in the 9th annual Diane Burr 5K Road Race                          Veteran in
____________________

Name: _______________________ Date of Birth: _________ Age on 11/14:
________ Sex: M F
Address: __________________________ City/Town: ______________ State:
______ Zip: ________

Phone: __________________ E-mail: _________________________ T-shirt
size: SM MED LG XL

In consideration of this entry being accepted, I do for myself, or any person or concern who may,
on my behalf, hereby harmless and release the 9th Annual Diane Burr 5K Flag Run/Walk, the
Diane Burr Memorial Fund, the Town of Thomaston, the State of Connecticut, all sponsors,
volunteers and race officials from any and all claims of personal injury,damages arising out of, or
connected with, my participation in this event. I also understand the risks associated with my
participation, including, but not limited to, falls, contact with other participants, the effects of
weather, and the conditions of the course. I am physically fit and assume responsibility for my
own safety.


Signature: _______________________________ Date: ______________
Amount enclosed: _______