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Sponsors

JOHN DEMILLE 44th ANNUAL FIRECRACKER 8K ROAD RACE & FUN WALK
SATURDAY, JULY 4th, 2009

SPONSORED BY: BETHEL PARKS & RECREATION AND NEW BALANCE
ALL RACE PROCEEDS GO TO “THE SCOTTY FUND”

Time	Event	Location
8:00 A.M.	Kids Mini Cracker Races: 3-10 years old	Route 302, P.T. Barnum Square
8:30 A.M	Fun Walk	Clifford J. Hurgin Municipal Center
9:00 A.M.	Road Race 8K	1 School Street, Bethel, CT 06801

Kids Mini Cracker Pre-Registered $5.00
Road Race & Walk Pre-Registered $20.00
After June 27th through race day $25.00
(60+ Club $15.00)

AMENITIES:
New Balance Tech Shirt and Race packets to first 400 ‘Pre-registered’ runners or walkers.
T-shirts to first 100 Mini Cracker runners.

Registration and Race Packet: Available at New Balance of Bethel (Big Y Plaza) 6/22 – 7/3

$200.00 Cash Prize to the first place male and first place female to complete the road race.
$100.00 Cash Prize to the second place male and second place female to complete the road race.
$50.00 Cash Prize to the third place male and third place female to complete the road race.
$50.00 New Balance gift certificate to the first Bethel male and first Bethel female to complete the road race.

Chip timing and split time, with finish time posted at the end of road race.
Water stations and refreshments to all participants. Entertainment.
Awards given to top three male and female runners in each division.
10 & under 11-14, 15-19, 20-24, 25-29, 30-34, 35-39, 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70+

MAIL REGISTRATION and Entry Fee to:

Eileen Earle, Race Director
Bethel Parks & Recreation 203-794-8531
One School Street
Bethel, CT 06801

Make checks payable to: Bethel Parks & Recreation
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In consideration of acceptance of this entry, I, the undersigned, Intending to be legally bound, do hereby, for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages I may have against any and all race sponsors, or the cities and towns in which the race is contested, their representatives, successor or assignee, for any and all injuries suffered by me in said event. I attest and verify that I am physically fit and sufficiently trained for completion of this event and a licensed Medical Doctor has verified my physical condition within the last six months. Further, I hereby grant full permission to any and all of the foregoing to use my photographs, videotapes, motion pictures, recordings, or any other record of this event for any purpose whatever without compensation or remuneration. Have a fun race!

Last Name: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ First Name: __ __ __ __ __ __ __ __ __ __ __

Address: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

City: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ State: __ __ Zip: __ __ __ __ __

Phone: __ __ __ __ __ __ __ __ __ __ How did you hear about this race?_________________________________________

Kids Mini Cracker:______ Age On Race Day:_______ Sex: Male/Female________ Road Race:_______ Walk:_____

Child’s Date Of Birth:_______________

Signature: _____________________________________________
(Parent if under 18)

Running Shirt: S___ M___ L___ XL___

Race #_________