Sunday, November 7, 2010. 2nd Annual RALPH K. THOMAS 8K Run, Indian Island. 9:00AM.

• entry form

8K Run 2010
(And 2.5 Mile Walk)
WHERE: Penobscot Nation, Community Building, Indian Island ME
WHEN: Sunday, November 7, 2010 TIME: 9:00 AM (registration: 7:45 –8:45)
ENTRY FEE: $10.00 pre-registration until 11/5/10; $12.00 day of race
$8.00 pre-registration for children up to 10 years; $10.00 day of race
T-Shirt is included for pre-registrants thru 10/8
10/9-11/7 registrants will receive a t-shirt as supply lasts.
Make checks payable to: Penobscot Nation
Send to: Penobscot Nation Health Dept.
c/o Patty Martin
23 Wabanaki Way
Indian Island ME 04468
Proceeds to benefit: Families of Tribal members with catastrophic healthcare needs
CATEGORIES: 1stMale & Female runner will receive a Penobscot basket. Prizes
to be awarded to 1st and 2nd place winners in each division.
DOOR PRIZES: Door prizes will be drawn after the race
CONTACT INFO: Bob Bryant: robert.bryant@penobscotnation.org or 817-7358
Dale Lolar: dale.lolar@ihs.gov or 817-7425
    REGISTRATION FORM - CLIP AND MAIL    
NAME_____________________________________ TEL________________Email___________________
ADDRESS______________________________________________________________AGE____ SEX___
RUNNER ___ WALKER ___ T-SHIRT SIZE ________
In consideration of this entry being accepted, I, for heirs, my assigns, and myself hereby waive and release any rights
and claims I may have against sponsors and officials of the Ralph K Thomas 8K Road Run/Walk. I also attest that I
am physically fit and trained for this event.
Signature of Runner (or guardian if under 18) _____________________________________________________
Form may be photocopied for additional participants