St. Joseph Catholic School Booster Club Bruin Burn 5K Run/Walk and 1 Mile Fun Run Saturday- July 18, 2015 Name: Address: City, State, Zip: RACE TO BEGIN AND END AT: St. Anthony Catholic School (directions & route map on the back) 1585 Old Mannsdale Road Madison, MS Friday- 3:00- 6:00 p.m. Race packet pick-up and on-site registration at St. Anthony Catholic School S aturday- 6:00 a.m. Race day registration and race packet pick-up for pre- registered participants 7:00 a.m. 5K Run/Walk, One-Mile Fun Run following 5K Run/Walk. Awards Ceremony to follow. ENTRY FEES 5K Run/Walk- $20.00 pre-registration; $25.00 after Sunday, July 12 th Current St. Joseph Student/Faculty- $15.00 pre-registration; $20.00 after Sunday, July 12th One-Mile Fun Run: $15.00 per participant Family- $65.00 pre-registration only. No Race Day Team: $75.00 pre-registration only. No Race Day Team Entries- Teams may consist of up to five (5) members, scoring top 3. Please submit an entry form for each member, send all forms/fees in one envelope. 1 st, 2 nd,3 rd place finishers recognized. AWARDS & AGE GROUPS: Award ceremonies to be held following the Cub One-Mile Fun Run in the gym. Overall male and female winners, Masters (40+), Grand Masters (50+) and Top 3 in each age group will be presented in the 5K Run and 5K Walk. 5K Run: 14 and under, 15 – 19, 20 – 24, 25 – 29, 30 – 34, 35 – 39, 40 – 44, 45 – 49, 50 – 54, 55 – 59, 60 – 64, 65 – 69, and 70+ St. Joe Alumni: 35-under, 36 and over 5K Walk: 19 and under, 20 – 29, 30 – 39, 40 – 49, 50 –59, 60 – 69, and 70+ St. Joe Alumni: Overall winner male and female One Mile Fun Run: 5 and under, 6 – 7, 8 – 9, 10 – 11, and 12 – 13 (all runners under 13 will receive a medal) For more race information, please contact Mike Crandall : or Bubba Garrard: or Age (as of 7/18/15):____________ Sex: _________ Event (circle one): T-Shirt Size (circle one): 5K Run5K WalkFun RunSt. Joseph Alumni (Year Graduated): ___________ YL YXL AS AM AL AXL AXXL (please include additional $2.00) Team Name: ______________________________________________________ I hereby certify I am medically fit to participate in this race/walk. In consideration for the acceptance of this entry I. the undersigned for myself, my personal representative, beneficiaries and heirs, knowingly wave, release and discharge any and all rights and claims which I have or may have Hereafter accrue to me or to my estate against St. Joseph Catholic School, St. Joseph Booster Club, St. Anthony Catholic School, and the Mississippi Track Club and/or other spouses, organizers, and volunteers and assigns for any and all injuries or death suffered by me in this event. I will also allow my picture and name to be used in publications as a result of this event. Signature:Date: ________________ (A parent or legal guardian must sign for all participants under the age of 18.) Entry fee include a t-shirt (while supplies last)- Please Register Early!!! 5 th Annual Mail completed registration form and fee to: checks payable to St. Joseph Booster Club – or- Register Online- St. Joseph Booster Club Attn: Bruin Burn Post Office Box 2027 Madison, MS RACE REGISTRATION

DIRECTIONS TO ST. ANTHONY CATHOLIC SCHOOL Physical Address: St. Anthony Catholic School 1585 Mannsdale Road Madison, MS Traveling South: Traveling North: - Take exit 108 for Hwy. 463 toward Madison - Turn right onto Hwy. 463 / West. Main Street - Turn left onto Hwy. 463 / West. Main Street - Turn right onto Mannsdale Road - Continue onto Old Mannsdale Road - Turn Left onto Mannsdale Road - Continue onto Old Mannsdale Road St. Anthony will be on the right RACE ROUTE