2nd Annual

10K Road Race and Family Fun Walk

Sunday August 21, 2005   10K 9:00 AM   Fun Walk 9:15 AM

This race course starts in downtown historic Brimfield and ends at the Common. It is a scenic residential rolling hills course open to all levels of runners.  The family fun walk is 1.5 miles near the Common.  The entire family is welcome to participate in the fun walk, even the dog (leashes required)!!

Registration for runners is $15.00 if received by August 1, 2005 or $18.00 on the day of the race.  Free T-shirts to the first 250 pre-registered runners. 

Fun walk registration is a free will donation. Please pre-register so we have enough food!

Proceeds will benefit HFA Community Center.

Hitchcock Free Academy and Community Center is celebrating 150 years of service to the community.  It is open the public year round, providing a wide range of educational, recreational and cultural programs to residents of all ages from the surrounding communities.

Please print:

Name: ___________________________________Sex: _____ Age on Aug 21, 2005______

Running Team or Club: _________________________Check one: Runner_____Walker______

Address: _________________ City: __________ State: ____ Zip: _____Phone:_____________

Email__________________________________

Please make checks payable to Hitchcock Free Academy and mail to: P.O. Box 155, Brimfield MA 01010.  Checks may also be dropped off at HFA during office hours.  Call 413-245-9977

for more information or if you are interested in being a volunteer for the event!

In consideration of the acceptance on my entry, I myself, my executors, administrators, and assignees, do hereby release and discharge Hitchcock Free Academy and any individuals or officials associated with said race from all claims arising or growing out of my participation in said athletic event known as HFA 10K.  I attest and verify that I have full knowledge of the risks involved in the events and I am physically fit and sufficiently trained to participate in this event.

Signature: (Parent if under 18) _____________________________ Date: _________________