Bruce Ellis Memorial 5K Road Races Separate 5K Races for Couples Teams Sunday September 1, 1996 A Benefit Event for the Bruce Ellis Scholarship Fund.

Sponsored by George and Phillips Inc. of Exeter, NH. Hosted by the Winner's Circle Running Club

• Sunday, September 1, 1996 at the Winner's Circle Sports Bar, Route 110 (near Rte. 95), Salisbury, MA.
• Course is fast, flat and accurate!
• 8:30 AM start for Women's Race, 9:30 AM start for Men's Race.
• All age group awards will be couples team awards. Individual merchandise prizes to 1^st overall male and female only. Couples awards to first overall team PLUS top two teams in each age group in Open, Husband & Wife, Father & Daughter, Mother & Son categories!
• Race packets from George and Phillips to first 200 entries, including shorts or singlet.
• Entry Fee: $12 per couple, $7 individual before 8/12; $15 per couple, $8 individual after 8/12.

LAST NAME:_____________________ FIRST NAME: _________________ SEX________

ADDRESS:____________________________________CITY:___________STATE:_____ZIP:________

AGE:________ TELE #_________________________

Name of Partner for COUPLES Team: _____________________ Relation:__________

Indicate size: Male: Sm__ M__ L__ XL__    Female: XS__ Sm__ M__ Lg__

In signing this entry, I for myself, my executors, and administrators, release the manager of the race, all sponsors and promoters from any and all liability and damages in case of death or injury received in or any way associated with this race. (www)

SIGNATURE: (guardian if under 18) ______________________________ DATE: ____________

Make checks payable to: Bruce Ellis Road Race. Mail To: Bruce Ellis Road Race, c/o George and Phillips, 239 Water St., Exeter, NH 03833. For more information call (603) 772-6130.