1st Annual

~“BUZZ Run”~
Bee, Nebraska
(9 miles North of Seward the way the Bee flies)

In conjunction with a freewill offering Buffet Breakfast;

serving from 8:00 a.m. to 1:00 p.m.
~Proceeds to Benefit the Restoration of the Bee States Ballroom~

WHEN: Palm Sunday, April 17th, 2011 8:00 a.m. Race time; 7:00 a.m. start check-in

WHERE: Downtown Bee, north of the States Ballroom

ENTRY FEE: $15.00 includes Registration in either the 1 mile run/walk or the
4 mile run and an Event T-Shirt.

ENTRY DEADLINE: Saturday, April 2nd, 2011

LATE ENTRY and race day entry fee: $20.00

MAKE CHECKS PAYABLE TO: The Bee Area Community Foundation Fund

SEND ENTRIES TO: Dan Policky, 1545 Plainview, Seward, Ne 68434, (402-641-2965)

PRIZES awarded in age categories

Name:__________________________________________Date:_______________
Address:____________________________City/State_____________Zip________
Phone:______________________Male:____Female:____Age (at time of run) ______

1 Mile Buzz Run/Walk_______ 4 Mile Buzz Run_______

T-Shirt size: S M L XL XXL (extra $2.00)

I realize that I am doing this run for the fun of it and for my health. I realize that if I get hurt it is my own fault and I or
anyone associated with me will not hold the Race Director or volunteers, the Village of Bee or any of its associates , the Bee
Area Community Foundation Fund or anyone or group associated with this Buzz Run. I am participating in this all on my
own accord and therefore I take all responsibility for anything that may happen to me.

Signature/Guardian _____________________________Date:____________