The Society of St. Vincent de Paul. Riverwalk. San Marcos, TX

Size: px
Start display at page:

Download "The Society of St. Vincent de Paul. Riverwalk. San Marcos, TX"

Transcription

1 The Society of St. Vincent de Paul Riverwalk San Marcos, TX Saturday October 1, 2016

2 The Society of St. Vincent de Paul 624 East Hopkins Street San Marcos, Texas River Walk for the Poor October 1, 2016 Thanks very much for deciding to participate in the River Walk for the Poor, San Marcos. Attached are the schedule, a registration form, a release from liability form, pledge sheet and receipt forms for those who give cash donations. The activities start at 7:30 am with the Rosary followed by the celebration of Mass at 8 am. You are encouraged to attend however it is not mandatory. At 9 am we will start registration and serve a snack and drink. After the walk, there will be lunch and prizes. This is the only fund raiser that we have for the year so it is very important to us in our efforts to help the poor and needy of the San Marcos area. The needs are rather over whelming. Since the floods of 2015 the rents in San Marcos have gone up. We are now experiencing a rash of homelessness not just for individuals but mostly for families. It breaks our hearts to see families suffer especially those with small children. The Society of St. Vincent de Paul is an international organization that has been supporting the poor and needy for over 180 years, and here in San Marcos for about 40 years. We routinely help those in need with their utility bills, prescriptions, rent (as funds are available), emergency housing and other essentials. We are hoping that we can have 100 walkers raise a $100 each. Two hundred would be fantastic. We will have a free T-shirt for those raising $100. The Society of St. Vincent de Paul here in San Marcos has volunteers from St. John the Evangelist Catholic Church and Our Lady of Wisdom University Parish. We have no paid staff. Our overhead is very low (less than one percent). We have a team on duty each day of the week plus an emergency team that responds 24/7. Our teams of highly trained volunteers are blessed by the people we serve and we know that you will truly be blessed by participating in this most important River Walk for the Poor. Looking forward to seeing you on Saturday 1 October 2016: Sincerely in Christ, Ben Ulcak President, San Marcos

3 The Society of St. Vincent de Paul River Walk for the Poor St. John the Evangelist Catholic Church Saturday, October 1, 2016 In the Church: 7:30 am: Rosary 8:00 am: Mass In Claretian Hall: 9:00 am: Registration; Turn-in of pledge sheets and funds 9:00 am: Snack and drink T-shirts Sales: $8 (Free T-shirt to those who raise $100) 9:20 am: Welcome announcement 9:25 am: Opening Prayer and Reflection 9:30 am: Picture in front of Church & Balloon release; balloons with St. Vincent prayer attached. 9:45 am: River walk for the Poor begins: 2 mile walk along the beautiful San Marcos River. 11:00 am: Return to Claretian Hall 11:15 am: Lunch 11:30 am: Door Prize Drawing 12:00 noon: Short reflection on the vocation of serving for the Society of St. Vincent de Paul Fill out survey of walk Notes: A $50 gift card will be awarded to the three persons who raise the most funds. Three door prizes will be given out: $25 gift cards.

4 River Walk for the Poor Registration St. John the Evangelist Catholic Church 624 East Hopkins Street San Marcos, Texas First Name: Last Name: Street Address: City: State: Zip: Male: Female: Age: Daytime Phone: Evening Phone: Address: A d u l t T - S h i r t S i z e s : S m a l l Medium Large X X L X-Large 3XL

5 2016 Participant / Volunteer Accident Waiver and Release of Liability (To be signed by all event participants and volunteers) I recognize and acknowledge that there are inherent risks in my presence and participation in the St. Vincent de Paul, on October 1, I acknowledge that this Accident Waiver and Release of Liability form will be used by the event holders, sponsors and organizers, in which I may participate, and that it will govern my actions and responsibilities at said events. In consideration of my registration and participation in this event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors and assigns as follows: (A)Waive, Release and Discharge from any and all liability for my death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter accrue to me or my traveling to and from this event, the Society of St. Vincent de Paul, their directors, officers, employees, volunteers, representatives and agents, event holders, event sponsors, event directors and volunteers; (B) Indemnify and Hold Harmless the entities or persons mentioned in this paragraph from any and all liabilities or claims made by other individuals and entities as a result of any of my actions during this event. I am aware the Society of St. Vincent de Paul does not provide health and accident coverage for me and it is my responsibility to pay any medical bills from injuries sustained while participating River Walk for the Poor, San Marcos. I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident and/or illness during this event. I understand that at this event or related activities, I may be photographed. I agree to allow my photo, video or film likeness to be used for any legitimate purpose by the event holders, producers, sponsors, organizations and assigns. I HAVE READ AND FULLY UNDERSTAND THIS WAIVER AND RELEASE OF CLAIM FORM. Printed Name Signature Date Emergency Contact Phone Number If under 18 years old, parent or guardian must also sign below. PARENT/GUARDIAN WAIVER FOR MINORS (UNDER 18 YEARS OLD) The undersigned parent and natural guardian does hereby represent that he/she is, in fact, acting in such capacity and agrees to save and hold harmless and indemnify each and all the parties referred to above from all liability, loss, cost, claim or damage whatsoever which may be imposed upon said parties because of any defect in or lack of such capacity to so act and release said parties on behalf of the minor and the parents of legal guardian. I understand that the foregoing Accident and Release of Liability shall apply to my child. I hereby give permission for my child to participate in the, with the understanding that every reasonable effort will be made to plan for safe participation in this event. Print Participant's Name Signature of Parent or Guardian Emergency Contact Participant's Age Date Phone Number

6 Society of St. Vincent de Paul October 1, 2016 Walker Pledge Sheet Walker s Name Address/Phone Make all checks payable to: Society of St. Vincent de Paul. Sponsor s Name Address Amount Pledged Amount Collected Totals

7 Use if a pledger needs a receipt for a donation made by cash. Date Donor Name _ Donor Name

7. Pledge form B, for use if the Parish SVDP chooses to raise funds at the Parish Level by general Sponsorship (attachment 5)

7. Pledge form B, for use if the Parish SVDP chooses to raise funds at the Parish Level by general Sponsorship (attachment 5) Contents: 1. The Walker Registration Form (attachment 1) 2. The SVDP Liability Waiver (attachment 2) 3. The SVDP Photo Release Form (attachment 3) Save time the morning of the walk! Parish walkers can

More information

DIOCESE OF CORPUS CHRISTI

DIOCESE OF CORPUS CHRISTI Office of Youth Ministry DIOCESE OF CORPUS CHRISTI PO Box 2620 Corpus Christi, Texas 78403 (361) 882-6191 Fax (361) 693-6787 www.diocesecc.org/youth YouthOffice@diocesecc.org DIOCESAN CONFIRMATION RETREATS

More information

DIOCESE OF CORPUS CHRISTI

DIOCESE OF CORPUS CHRISTI Office of Youth Ministry DIOCESE OF CORPUS CHRISTI 620 Lipan St. Corpus Christi, Texas 78401 (361) 882-6191 Fax (361) 693-6787 www.diocesecc.org/youth YouthOffice@diocesecc.org DIOCESAN CONFIRMATION RETREATS

More information

Register your team now and begin fundraising to support United Way and win prizes!

Register your team now and begin fundraising to support United Way and win prizes! Register your team now and begin fundraising to support United Way and win prizes! Team Captain Registration Form IMPORTANT: Please note that your $250 team registration fee must be paid on or before Friday,

More information

Team Registration For more information, call 613-542-6222 or email events@epilepsyresource.org Participant Information Epilepsy South Eastern Ontario is a non-profit charitable organization dedicated to

More information

Autism Society of Greater Orlando s 2018 Autism Walk & Family Fun Day **Annual Fundraising Event**

Autism Society of Greater Orlando s 2018 Autism Walk & Family Fun Day **Annual Fundraising Event** Autism Society of Greater Orlando s 2018 Autism Walk & Family Fun Day **Annual Fundraising Event** The Autism Society of Greater Orlando is hosting its 13 th Annual Autism Walk & Family Fun Day inside

More information

FRIDAY, SEPTEMBER 15 REGISTER YOUR TEAM NOW AND BEGIN FUNDRAISING TO SUPPORT UNITED WAY AND WIN PRIZES!

FRIDAY, SEPTEMBER 15 REGISTER YOUR TEAM NOW AND BEGIN FUNDRAISING TO SUPPORT UNITED WAY AND WIN PRIZES! FRIDAY, SEPTEMBER 15 REGISTER YOUR TEAM NOW AND BEGIN FUNDRAISING TO SUPPORT UNITED WAY AND WIN PRIZES! TEAM CAPTAIN REGISTRATION FORM IMPORTANT: Please note that your $300 team registration fee must be

More information

Team. Team Information

Team. Team Information Team Team Information 2017 April, 2017 Re: OROC OutRun Ovarian Cancer Event - 5K Race/Walk and 1-Mile Family Fun Run Date - Saturday, August 5, 2017 Location - Rock and Roll Hall of Fame and Museum, Cleveland

More information

Alzheimer s Arkansas Walks 2017 Individual or Team Registration Form

Alzheimer s Arkansas Walks 2017 Individual or Team Registration Form Alzheimer s Arkansas Walks 2017 Team Registration Form Yes, I/we will form a participate in (please check) Russellville 8/19 Helena 9/9 Hot Springs 9/16 Little Rock 10/7 Conway 10/28 This registration

More information

VISIONSTATEMENT MISSIONSTATEMENT

VISIONSTATEMENT MISSIONSTATEMENT Thank you for your generous support as we work to build high-quality services for people with intellectual and developmental disabilities (I/DD) in El Paso! VISIONSTATEMENT The Arc of El Paso envisions

More information

St. Lucie County. Saturday, February 23, 2019 ~ 4:00-6:00 pm Tradition Square / Port Saint Lucie

St. Lucie County. Saturday, February 23, 2019 ~ 4:00-6:00 pm Tradition Square / Port Saint Lucie St. Lucie County Saturday, February 23, 2019 ~ 4:00-6:00 pm Tradition Square / Port Saint Lucie SafeSpace, established in 1979, serves women, children and men in Martin, St. Lucie and Indian River counties

More information

MAY AWARENESS WALK-A-THON ROOSEVELT PARK OCONOMOWOC WI MAY

MAY AWARENESS WALK-A-THON ROOSEVELT PARK OCONOMOWOC WI MAY MAY AWARENESS WALK-A-THON ROOSEVELT PARK OCONOMOWOC WI MAY 12 2018 PLEASE JOIN US FOR THIS NATIONAL AND LOCAL FUNDRAISING, AWARENESS EVENT GET MORE INFORMATION ON THIS GENETIC DISORDER THAT AFFECTS 1 IN

More information

Hello, Fundraiser! All the best, Julie Lowe Ronald McDonald House Charities of Greater Washington, DC

Hello, Fundraiser! All the best, Julie Lowe Ronald McDonald House Charities of Greater Washington, DC Hello, Fundraiser! We are so excited to work with you on your fundraising event in support of Ronald McDonald House Charities of Greater Washington, DC and help Raise Love for the families we support!

More information

JDRF Oklahoma. Youth Ambassador Program 2017 Promise Ball 20 th Anniversary. Information Packet

JDRF Oklahoma. Youth Ambassador Program 2017 Promise Ball 20 th Anniversary. Information Packet JDRF Oklahoma Youth Ambassador Program 2017 Promise Ball 20 th Anniversary Information Packet Dear Prospective JDRF Youth Ambassador: I am writing to invite you to participate in the 2017 JDRF Youth Ambassador

More information

Your support is critical. Please do it for the men in your life! Warm regards, Julie Goldfischer, Executive Director Premier Care Foundation, Inc.

Your support is critical. Please do it for the men in your life! Warm regards, Julie Goldfischer, Executive Director Premier Care Foundation, Inc. Premier Cares Foundation, Inc. is proud to announce our fourth annual, on the Walkway Over the Hudson, on Saturday, September 28, 2013. The Walk presents a meaningful sponsorship opportunity to support

More information

CWA SPONSORED FUNCTION

CWA SPONSORED FUNCTION CWA SPONSORED FUNCTION REGISTRATION AND PERMISSION FORM AND RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT.... REGISTRATION PLEASE PRINT AND COMPLETE EACH ITEM IN FULL Registrant s Name: (separate

More information

Presbyterian Night Shelter Volunteer Application

Presbyterian Night Shelter Volunteer Application Presbyterian Night Shelter Volunteer Application Thank you for your interest in the Presbyterian Night Shelter (PNS). Please complete this application as well as the attached documents and return to: Presbyterian

More information

Individual Volunteer Profile

Individual Volunteer Profile Individual Volunteer Profile Please return completed forms to Jennifer Small at small@mdfoodbank.org, or by fax 410.742.0554, or mail to the Maryland Food Bank Eastern Shore, 28500 Owens Branch Road, Salisbury,

More information

BPC Senior High Service Trip

BPC Senior High Service Trip BPC Senior High Service Trip 2019 2019 Hello Parents and High School Kids! We are thrilled to announce the destination for the 2019 Refuge Spring Break Service Experience Trip! This year we will be traveling

More information

Summer Youth Institute Packet

Summer Youth Institute Packet Dear Prospective Youth Volunteer, Summer Youth Institute Packet Thank you for your interest in the Volunteers of America s Youth Volunteer Summer Institute! Volunteers of America is a national, non-profit,

More information

Baa Hózhó Navajo Prep Math Summer Camp 2017

Baa Hózhó Navajo Prep Math Summer Camp 2017 Math Summer Camp 2017 Application Packet Grades 7-12 May 30-June 3, 2017 Navajo Preparatory School, Farmington, NM Residential Camp Application Checklist A complete application must include the following:

More information

The Children s Home K Community Walk. for Children & Families. Saturday, May 6th, 9:00am to 12:00noon

The Children s Home K Community Walk. for Children & Families. Saturday, May 6th, 9:00am to 12:00noon The Children s Home - 2017 5K Community Walk for Children & Families Saturday, May 6th, 9:00am to 12:00noon Enjoy a fun-filled spring morning in beautiful, historic Catonsville Since 1863, The Children

More information

Our Lady of Hope s Famine 2014

Our Lady of Hope s Famine 2014 Our Lady of Hope s Famine 2014 "I tell you the truth, whatever you did for one of the least of these brothers of mine, you did for me." Matthew 25:40 March, 2014 Hello High School Parents! We are quickly

More information

Application to Livingston Robotics Club Season Part A: Student information. Name: (Student) Home Address:

Application to Livingston Robotics Club Season Part A: Student information. Name: (Student) Home Address: Due s: July 30, 2017 for FLL and FTC Mail to: P.O. Box 771, Livingston, NJ 07039 Email to info@livingstonrobotics.org Application to Livingston Robotics Club Part A: Student information Name: (Student)

More information

PROGRAM YEAR 2018 REGISTRATION PACKAGE

PROGRAM YEAR 2018 REGISTRATION PACKAGE PROGRAM YEAR 2018 REGISTRATION PACKAGE Full Stride Track Club is a competitive track club for Contra Costa and Solano County youth ages 5 to 18 years old. We are committed to providing our youth with a

More information

LA CONGRESS YOUTH DAY 2015 TALK JESUS WITH ME!

LA CONGRESS YOUTH DAY 2015 TALK JESUS WITH ME! LA CONGRESS YOUTH DAY 2015 TALK JESUS WITH ME! WHAT IS THE YOUTH DAY? It is with great joy that we invite you to register for Youth Day 2015 the largest event of its kind in the world! At Youth Day, there

More information

Emergency Contact Name: Emergency Contact #:

Emergency Contact Name: Emergency Contact #: BLOOMFIELD ANIMAL SHELTER VOLUNTEER PROGRAM 61 Bukowski Pl Bloomfield, NJ 07003 P: 973-748-0194 E: VolunteerAtBas@yahoo.com www.bloomfieldshelter.com PERSONAL INFORMATION: Full Name: *PLEASE PRINT LEGIBLY

More information

CHEF INFO PACKET. Welcome Distinguished Chef!

CHEF INFO PACKET. Welcome Distinguished Chef! 2017 CHEF INFO PACKET Welcome Distinguished Chef! We are very excited and grateful that you will be participating in the 13 th Annual Distinguished Men Cookin with the Deltas: Licensed to Grill fundraiser!

More information

First-Ever Youth Playhouse Build!

First-Ever Youth Playhouse Build! Attention all Bryan and College Station youth between the ages of 7 and 15! Bryan/College Station Habitat for Humanity needs you! Our first-ever Youth Playhouse Build is a two-day event designed to engage

More information

Thank you for Supporting The19th Annual AIDS Walk To Benefit AIDS Care! AIDS. Saturday, June 5, 2010 Registration: 9:30 a.m. Walk Begins: 11:00 a.m.

Thank you for Supporting The19th Annual AIDS Walk To Benefit AIDS Care! AIDS. Saturday, June 5, 2010 Registration: 9:30 a.m. Walk Begins: 11:00 a.m. Team Captain Handbook Thank you for Supporting The19th Annual AIDS Walk To Benefit AIDS Care! 2010 AIDS WALK GENESEE VALLEY PARK Saturday, June 5, 2010 Registration: 9:30 a.m. Walk Begins: 11:00 a.m. The

More information

MAIL TO: TEC New Orleans CYO/Youth and Young Adult Ministry Office Archdiocese of New Orleans 2241 Mendez Street New Orleans, LA

MAIL TO: TEC New Orleans CYO/Youth and Young Adult Ministry Office Archdiocese of New Orleans 2241 Mendez Street New Orleans, LA Dear TEC Applicant, TEC is an experience in Christian living designed especially for teenagers and young adults in college. Adults over the age of 25 may attend as adult faith witnesses but these spaces

More information

Young Ushers Program

Young Ushers Program Young Ushers Program Flat Rock Playhouse The State Theatre of North Carolina Flat Rock Playhouse invites local students to join our 2017 Vagabond team as volunteer Ushers! This application only opportunity

More information

JDRF Hampton Roads Youth Ambassador Program Description

JDRF Hampton Roads Youth Ambassador Program Description JDRF Hampton Roads Youth Ambassador Program Description The Youth Ambassador Program offers youth opportunities for personal growth and development of leadership skills, while creating awareness for JDRF

More information

May 5, :00 am Mystique Community Ice Center

May 5, :00 am Mystique Community Ice Center May 5, 2018 11:00 am Mystique Community Ice Center More information is found on our facebook page, website and by calling or emailing us at info@arkadvocates or akrause@arkadvocates.org 2 ABOUT THE EVENT

More information

8 th Annual Sickle Cell Walk-A-Thon WESTGATE PARK 501 Recreation Road Dothan, Alabama SEPTEMBER 22, Special Awards!!!

8 th Annual Sickle Cell Walk-A-Thon WESTGATE PARK 501 Recreation Road Dothan, Alabama SEPTEMBER 22, Special Awards!!! 8 th Annual Sickle Cell Walk-A-Thon WESTGATE PARK 501 Recreation Road Dothan, Alabama SATURDAY, SEPTEMBER 22, 2018 Registration 7:15 a.m. 8:15 a.m. Warm Up 8:15 a.m. Walk from 8:30 a.m. 10:30 a.m. Westgate

More information

Lions Sight & Hearing Foundation Phone: Fax: Hearing Aid: Request for assistance

Lions Sight & Hearing Foundation Phone: Fax: Hearing Aid: Request for assistance Lions Sight & Hearing Foundation Phone: 602-954-1723 Fax: 602-954-1768 Hearing Aid: Request for assistance 3427 N 32 nd Street office use only Date received Case number Applicant: (Name; please print clearly)

More information

Dear Parent or guardian

Dear Parent or guardian Saturday, April 2, 2011 DanceAThon a fundraiser to benefit Beads of Courage 10am to 8pm Bear Down Gym on the University of Arizona Be part of the 1st annual Courage in Motion 10Hour DanceaThon which will

More information

2015 NAMI Walk. Saturday, March 21st. 8:30am 11:00am Cambier Park - Naples

2015 NAMI Walk. Saturday, March 21st. 8:30am 11:00am Cambier Park - Naples 2015 NAMI Walk Please join the National Alliance on Mental Illness (NAMI) of Collier County, along with our Grand Marshall, Krista Fogelsong of ABC7, for our 13th annual NAMI Walk. Saturday, March 21st

More information

Saturday & Sunday, July 18-19

Saturday & Sunday, July 18-19 proudly present: Saturday & Sunday, July 18-19 RULES OF PERFORMANCE SQUAT: The lifter shall face the front of the platform. The bar shall be held horizontally across the shoulders, hands and fingers gripping

More information

Sponsorship Opportunities

Sponsorship Opportunities Sponsorship Opportunities Saturday December 5, 2015 Broward College A. Hugh Adams Central Campus 3501 S.W. Davie Road Fort Lauderdale, FL 33314 Registration: 7:00 AM www.familycentral.org/5k2015 Who is

More information

PARTICIPANT TOOLKIT. Move It! Walk May 18, :30 AM 12 PM. The Grand Park at Market Commons Farrow Pkwy, Myrtle Beach, SC 29577

PARTICIPANT TOOLKIT. Move It! Walk May 18, :30 AM 12 PM. The Grand Park at Market Commons Farrow Pkwy, Myrtle Beach, SC 29577 PARTICIPANT TOOLKIT Move It! Walk May 18, 2019 8:30 AM 12 PM The Grand Park at Market Commons 1156 Farrow Pkwy, Myrtle Beach, SC 29577 https://moveitwalk.mb.dojiggy.com 866-903-PARK (7275) www.parkinsonassociation.org

More information

SMITH PHYSICAL THERAPY AND RUNNING ACADEMY, LLC PHYSICAL THERAPY PATIENT INFORMATION CITY: STATE: ZIP CODE:

SMITH PHYSICAL THERAPY AND RUNNING ACADEMY, LLC PHYSICAL THERAPY PATIENT INFORMATION CITY: STATE: ZIP CODE: PHYSICAL THERAPY PATIENT INFORMATION DATE: NAME: DATE OF BIRTH: ADDRESS: CITY: STATE: ZIP CODE: *E-MAIL: HOW DID YOU HEAR ABOUT SMITH PHYSICAL THERAPY AND RUNNING ACADEMY? EMERGENCY CONTACT: REFERRING

More information

LOSE TO WIN CHALLENGE RULES, LIABILITY & PUBLICITY RELEASE

LOSE TO WIN CHALLENGE RULES, LIABILITY & PUBLICITY RELEASE LOSE TO WIN CHALLENGE RULES, LIABILITY & PUBLICITY RELEASE CHALLENGE INFO: Participants will enjoy 8 weeks of unlimited access to the gym AND group fitness classes (Elite Group Training and Quick Fit classes),

More information

Gym Memberships. The cost of the membership is per month, plus a one off cost of 5 for the band.

Gym Memberships. The cost of the membership is per month, plus a one off cost of 5 for the band. Gym Memberships Membership Form Name: Address: Membership Start Date: Payment Details The cost of the membership is 18.50 per month, plus a one off cost of 5 for the band. This Payment should be made either

More information

HOUSTON18 VOLUNTEER PACKET

HOUSTON18 VOLUNTEER PACKET HOUSTON18 VOLUNTEER PACKET Dear Group Leaders and Volunteers, The 2018 National Youth Convention and Fine Arts Festival is being held at the George R. Brown Convention Center in Houston, Texas from July

More information

California Against Slavery s 2nd MOVE TO STOP MODERN DAY SLAVERY WALKATHON San Diego

California Against Slavery s 2nd MOVE TO STOP MODERN DAY SLAVERY WALKATHON San Diego California Against Slavery s 2nd MOVE TO STOP MODERN DAY SLAVERY WALKATHON San Diego August 28, 2011 7:30am Registration, 8:30am Walk Start Harbor Island Park, 1910 Harbor Island Dr, San Diego, CA Meet

More information

UPA Old School Iron Gym Winter Rack Attack 2017!

UPA Old School Iron Gym Winter Rack Attack 2017! UPA Old School Iron Gym Winter Rack Attack 2017! MEET DIRECTORS: TJ Slomka - osigym@yahoo.com (216) 392-0981 Luz Miller - msmillie76@gmail.com (216) 322-7264 EVENT LOCATION: ELIGIBILITY: WEIGH-IN: Title

More information

To get your school involved call us today! The Volunteer Center SOUTH BAY-HARBOR-LONG BEACH

To get your school involved call us today! The Volunteer Center SOUTH BAY-HARBOR-LONG BEACH To get your school involved call us today! VCYC volunteer.center.youth.coalition. give back to your community Founded in September 1999, VCYC was designed to IDENTIFY, EMPOWER, and MOBILIZE youth from

More information

Kids for a Cure Summer Day Camp June 19-22, :30am-3:00pm Fredericksburg Presbyterian Church Downtown Fredericksburg

Kids for a Cure Summer Day Camp June 19-22, :30am-3:00pm Fredericksburg Presbyterian Church Downtown Fredericksburg Diabetes Management Program Kids for a Cure Summer Day Camp June 19-22, 2017 8:30am-3:00pm Fredericksburg Presbyterian Church Downtown Fredericksburg Requirements for Junior Counselor: Age 13 and 14 Teacher

More information

Fundraising Information Packet

Fundraising Information Packet Fundraising Information Packet Contact: Down Syndrome Association For Families of Nebraska Lincoln NE 68505 www.dsafnebraska.org Email: stepupwalk@dsafnebraska.org (402) 421-1338 Page 1 Dear Team Captain,

More information

Baby-Sitting - $20 Per Day/Per Nanny (local clients) Less than 24 hours notice $30 Per Day/Per Nanny. Hotel Overnight Sitting - $35 per Day/Per Nanny

Baby-Sitting - $20 Per Day/Per Nanny (local clients) Less than 24 hours notice $30 Per Day/Per Nanny. Hotel Overnight Sitting - $35 per Day/Per Nanny ALL ABOUT NANNIES BUSINESS PHONE: 602-266-9116 BUSINESS FACSIMILE: 602-266-9787 BUSINESS EMAIL: ADMIN@ALLABOUTNANNIESINC.COM TEMPORARY, BABY-SITTING, HOTEL & ON-CALL AS NEEDED Mother s Full Name: Place

More information

Back Bay Therapeutic Riding Club Inc Cypress Ave. Newport Beach, CA

Back Bay Therapeutic Riding Club Inc Cypress Ave. Newport Beach, CA Back Bay Therapeutic Riding Club Inc. 20262 Cypress Ave. Newport Beach, CA 92660 949-474-7329 BACK BAY THERAPEUTIC RIDING CLUB RIDER REGISTRATION/HEALTH HISTORY/RIDER PROFILE (UPDATED ANNUALLY) Name of

More information

Welcome to the Cedar Grove-Belgium Fitness Center

Welcome to the Cedar Grove-Belgium Fitness Center Welcome to the Cedar Grove-Belgium Fitness Center In this guide, you will find valuable information about the Cedar Grove-Belgium Fitness Center. The Cedar Grove-Belgium Board of Education and administration

More information

CANDY Camp Application

CANDY Camp Application CANDY Camp Application Please complete the following form and submit it by June 15, 2016. Please mail form to Bonnie Kruse, Diabetes Program Coordinator, HSHS St. Anthony s Memorial Hospital, 503 North

More information

APPLICATION. Team Clarke 2017 TCS New York City Marathon Sunday, November 5, 2017

APPLICATION. Team Clarke 2017 TCS New York City Marathon Sunday, November 5, 2017 APPLICATION Team Clarke 2017 TCS New York City Marathon Sunday, November 5, 2017 Clarke School for the Deaf (dba Clarke Schools for Hearing and Speech) provides children who are deaf or hard of hearing

More information

APPLICATION INSTRUCTIONS

APPLICATION INSTRUCTIONS APPLICATION INSTRUCTIONS TEACHER TRAINING PROGRAMS Application Deadlines To process your application, please send your complete application no later than one week prior to the program start date. However,

More information

Next Step s Face Forward Conference 2012 Participant Application Packet

Next Step s Face Forward Conference 2012 Participant Application Packet Dear Participants and Parents/Guardians, Next Step s Face Forward Conference 2012 Participant Application Packet Welcome to the 2012 application for Next Step s Face Forward Young Adult Conference! This

More information

Sponsorship Packet. 15th Annual

Sponsorship Packet. 15th Annual 15th Annual Sponsorship Packet Harris Health System will host the 15th Annual Circle of Survival Trauma Conference at the Bayou City Event Center on May 24, 2017. Join us as we bring together hundreds

More information

Support RP Fighting Blindness by taking part in our 2016 Superhero Run!

Support RP Fighting Blindness by taking part in our 2016 Superhero Run! Support RP Fighting Blindness by taking part in our 2016 Superhero Run! Thank you for requesting a Do it for Charity Superhero Run information pack. We can t wait for you to join us in becoming a real-life

More information

*Your address will be added to our WODIFY system. You may receive correspondence from both WODIFT and Crossfit Toowoomba from time to time.

*Your  address will be added to our WODIFY system. You may receive correspondence from both WODIFT and Crossfit Toowoomba from time to time. Name: Date of Birth: Emergency Name and Contact No: Address: Contact Number: Email Address Occupation: Have you done Crossfit Before? Gender: If so where? *Your email address will be added to our WODIFY

More information

Community Education. City State Zip Code. Term (please circle one) Summer 20 Fall 20 Winter 20 Spring 20

Community Education. City State Zip Code. Term (please circle one) Summer 20 Fall 20 Winter 20 Spring 20 Student ID # 1651 Lexington Ave, Astoria, OR 97103 Community Education Today s Date: Bandit Community Fitness Bandit Community Fitness offers access to the College s weight room, cardio room and running

More information

Nancy McKnight, Director of Religious Education

Nancy McKnight, Director of Religious Education On Saturday, November 3, 2018, the St. Philip the Apostle family will become homeless for one night to raise awareness and support for homeless families in DuPage County by participating in Sleep Out Saturday.

More information

Wellness Department. Non-Resident Pool Membership Packet. Page 1

Wellness Department. Non-Resident Pool Membership Packet. Page 1 Wellness Department Non-Resident Pool Membership Packet Page 1 Dear Non-Resident, Thank you for your inquiry into the Aquatic programs at Brethren Village. We offer the opportunity for residents in the

More information

VITAL SIGNS EMS CONFERENCE 2017 EXHIBITOR APPLICATION FORM

VITAL SIGNS EMS CONFERENCE 2017 EXHIBITOR APPLICATION FORM VITAL SIGNS EMS CONFERENCE 2017 EXHIBITOR APPLICATION FORM Company Name: Company Address: City: State: Zip Code: Contact Person: Telephone Number: Fax Number: Tax ID #: E-Mail Address: We will issue exhibitor

More information

STUDENT REGISTRATION FORM

STUDENT REGISTRATION FORM STUDENT REGISTRATION FORM MUUUCE (MOST UNBELIEVABLE ULTIMATE URBAN CAMPING EXPERIENCE) IS AN UNFORGETTABLE, SPIRITUAL, HIGH-ENERGY THREE DAYS OF VALLEYFAIR, LIVE WORSHIP, GREAT SPEAKERS, FRIENDS, FOOD

More information

Sacrament of Confirmation Registration Form Year 2 St. Cornelius Catholic Church

Sacrament of Confirmation Registration Form Year 2 St. Cornelius Catholic Church Sacrament of Confirmation Registration Form Year 2 St. Cornelius Catholic Church 2017-2018 (Please type or print clearly) Name of Candidate: Age: Address: Street City Zip Home Phone: ( ) Cell or other:

More information

Thursday, March 28 th 5:00 pm 10:00 pm Friday March 29 th & Saturday March 30 th 10:00 am 10:00 pm Sunday March 31 st 10:00 am 5:00 pm

Thursday, March 28 th 5:00 pm 10:00 pm Friday March 29 th & Saturday March 30 th 10:00 am 10:00 pm Sunday March 31 st 10:00 am 5:00 pm FESTIVAL DATES & HOURS: Thursday, March 28 th 5:00 pm 10:00 pm Friday March 29 th & Saturday March 30 th 10:00 am 10:00 pm Sunday March 31 st 10:00 am 5:00 pm Florida Blueberry Festival Information Packet

More information

Screenings for Blood Pressure, Blood Glucose, & Lung Function, Learn Sidewalk CPR and meet our experts on Diabetes, Stroke and Heart Failure

Screenings for Blood Pressure, Blood Glucose, & Lung Function, Learn Sidewalk CPR and meet our experts on Diabetes, Stroke and Heart Failure 2nd Annual Presented by the Auxiliary of Pomona Valley Hospital Medical Center Saturday October 20, 2018 9:00am-2:00pm 1830 N. Orange Grove Ave., Pomona Across from Pomona Valley Hospital Medical Center

More information

We Love Our Kids Health & Safety Expo

We Love Our Kids Health & Safety Expo Presents The 2nd Annual We Love Our Kids Health & Safety Expo 10:00 a.m. 2:00 p.m. VENDOR* & SPONSORSHIP OPPORTUNITIES www.arielleanackercancerfoundation.org or www.cancerbills.org Net proceeds to benefit

More information

July Dear Surgical Supplier:

July Dear Surgical Supplier: July 2016 Dear Surgical Supplier: As President of the Southern California Chapter of the American College of Surgeons, I invite you to participate in our annual scientific meeting at the Four Seasons Biltmore,

More information

TEACHER TRAINING APPLICATION

TEACHER TRAINING APPLICATION Introduction TEACHER TRAINING APPLICATION Thank you for your interest in the Hot 8 Yoga Teacher Training Program! Below you will find detailed instructions on how to apply. Please be aware that the Hot

More information

Talisman Therapeutic Riding, Inc. PO Box 300, Grasonville, MD

Talisman Therapeutic Riding, Inc. PO Box 300, Grasonville, MD Volunteer Application (Page 1 of 6) General Information Form - Please Print Clearly and Complete Fully (Last Name) (First Name) (Middle Initial) (Nickname) Street Address: City: State: Zip Code: Home Phone:

More information

Big Buddy. Empowering Minds Extended Learning Academy at. South Baton Rouge Charter Academy. Program Operates: Monday- Friday.

Big Buddy. Empowering Minds Extended Learning Academy at. South Baton Rouge Charter Academy. Program Operates: Monday- Friday. _, :Z ; ;_, :\, ~~--. ',.. ~ 'n' ',- _, ' '.', ~.,'' :. '~ 1 i'. ~i '''.,, '.,.~- Big Buddy Empowering Minds Extended Learning Academy at Fall Program Begins: Monday, September 18, 2017 Program Operates:

More information

APPLICATION 2018 Confidence Camp for Kids Elementary Program

APPLICATION 2018 Confidence Camp for Kids Elementary Program APPLICATION 2018 Confidence Camp for Kids Elementary Program For ages 5-11 Note: Applications will be reviewed based on the order received. Date: Child s Name Date of Birth Male Female Home Address City

More information

CITY OF PINOLE TINY TOTS PROGRAM REGISTRATION AND EMERGENCY FORM

CITY OF PINOLE TINY TOTS PROGRAM REGISTRATION AND EMERGENCY FORM CITY OF PINOLE TINY TOTS PROGRAM REGISTRATION Child's Name Date of Birth Parent/Guardian's Full Name Address Street: Address Line 2: City, State, Zip: Phone ( ) - Email EMERGENCY CONTACT INFORMATION OTHER

More information

TRANSFORM PARTNER CHALLENGE RULES, LIABILITY & PUBLICITY RELEASE

TRANSFORM PARTNER CHALLENGE RULES, LIABILITY & PUBLICITY RELEASE TRANSFORM PARTNER CHALLENGE RULES, LIABILITY & PUBLICITY RELEASE CHALLENGE INFO: Participants will enjoy 8 weeks full access to the gym and unlimited Elite Group Training, IQFit and QuickFit classes, as

More information

TRANSFORM PARTNER CHALLENGE RULES, LIABILITY & PUBLICITY RELEASE

TRANSFORM PARTNER CHALLENGE RULES, LIABILITY & PUBLICITY RELEASE TRANSFORM PARTNER CHALLENGE RULES, LIABILITY & PUBLICITY RELEASE CHALLENGE INFO: Participants will enjoy 8 weeks of full access to the gym and unlimited Elite Group Training, IQFit and QuickFit classes,

More information

Trees Hall. Bellefield Hall

Trees Hall. Bellefield Hall Classes Begin: Monday, 5/7/2018 Classes End: Friday, 8/10/2018 No Class: Memorial Day: 5/28/2018 & Independence Day: 7/4/2018 Trees Hall Indoor Cycling 4400 Monday / Wednesday 12:00-12:55 PM HFC Indoor

More information

Community Friends THIRD PARTY FUNDRAISING

Community Friends THIRD PARTY FUNDRAISING Community Friends THIRD PARTY FUNDRAISING Thank you for selecting the Breast Cancer Coalition of Rochester as the beneficiary of your fundraising event or activity (mutually referred to as event ). The

More information

Morgan Memorial Goodwill Industries Running for Great Kids 2017 Boston Marathon Team Application

Morgan Memorial Goodwill Industries Running for Great Kids 2017 Boston Marathon Team Application 1 Morgan Memorial Goodwill Industries Running for Great Kids 2017 Boston Marathon Team Application Applications will be accepted on a rolling basis. Send completed applications to: Erin Flaherty Barfield

More information

- Kerrie Johnson, Team Jayden, (Team Captain and Mom)

- Kerrie Johnson, Team Jayden, (Team Captain and Mom) Presented By: Why Participate Participating in the Walk allows the local autism community to gather and connect in a positive and fun environment. It not only brings our closest family members together,

More information

EXTERNAL TRAINER AGREEMENT. THIS AGREEMENT dated as of the day of, 20. BETWEEN: (the External Trainer ) - and -

EXTERNAL TRAINER AGREEMENT. THIS AGREEMENT dated as of the day of, 20. BETWEEN: (the External Trainer ) - and - EXTERNAL TRAINER AGREEMENT THIS AGREEMENT dated as of the day of, 20. BETWEEN: (the External Trainer ) - and - 2566588 Ontario Ltd. operating as Fortis Fitness West (2566588 Ontario Ltd. operating as Fortis

More information

2013 U.S. OPEN TAEKWONDO CHAMPIONSHIPS VOLUNTEER GUIDE AND APPLICATION

2013 U.S. OPEN TAEKWONDO CHAMPIONSHIPS VOLUNTEER GUIDE AND APPLICATION 2013 U.S. OPEN TAEKWONDO CHAMPIONSHIPS VOLUNTEER GUIDE AND APPLICATION USA Taekwondo 1 Olympic Plaza Colorado Springs, Colorado 80909 Phone : (719) 866-4632 Fax : (719) 866-4642 www.usa-taekwondo.us OFFICIAL

More information

IMPORTANT DATES AYBA 2018 Season

IMPORTANT DATES AYBA 2018 Season IMPORTANT DATES AYBA 2018 Season Walk In Registration / Uniform Fitting Euchre/Bowling Fundraiser Mail-In Registration January 10-11, 23 rd 6:30-8:30 p.m. @ Hideaway Lanes January 27 th Due by March 12

More information

Community Link Buddy Walk May 5, Team Captain Packet

Community Link Buddy Walk May 5, Team Captain Packet Community Link Buddy Walk May 5, 2018 Team Captain Packet Together we can make it happen! Community Link Buddy Walk 2018 Fundraising Goal $150,000 Dates To Remember April 13: Last day to be guaranteed

More information

EXTERNAL TRAINER AGREEMENT. THIS AGREEMENT dated as of the day of, 20. BETWEEN: (the External Trainer ) - and -

EXTERNAL TRAINER AGREEMENT. THIS AGREEMENT dated as of the day of, 20. BETWEEN: (the External Trainer ) - and - EXTERNAL TRAINER AGREEMENT THIS AGREEMENT dated as of the day of, 20. BETWEEN: (the External Trainer ) - and - Fortis Fitness Inc. (Fortis Fitness Inc. or Fortis Fitness or the Companies ) This Agreement

More information

Winter Meltdown Youth Pastor Checklist

Winter Meltdown Youth Pastor Checklist Winter Meltdown 2017 - Youth Pastor Checklist We are thrilled that you have chosen to take part in Winter Meltdown 2017 at RVR this year! We hope your group is as excited as we are to serve you. It is

More information

SPONSORED BY THE CENTRE BAPTIST ASSOCIATION of the American Baptist Churches of PA & DE. March 19, 2019 March 24, 2019 REGISTRATION FORM

SPONSORED BY THE CENTRE BAPTIST ASSOCIATION of the American Baptist Churches of PA & DE. March 19, 2019 March 24, 2019 REGISTRATION FORM March 19, 2019 March 24, 2019 REGISTRATION FORM Name Local Church Home Address Home Phone Cell Phone Office Phone Email Emergency Contact Phone I will be participating in the events held: o All Week o

More information

NEW PATIENT PAPERWORK

NEW PATIENT PAPERWORK NEW PATIENT PAPERWORK Welcome! Please fill out the necessary paperwork provided. It is our pleasure to serve you and your family. How did you find out about us? If It was a friend or doctor, please list

More information

A Tradition of Excellence

A Tradition of Excellence A Tradition of Excellence November 7 2017 Via Electronic Mail Donald P O Neil RE: 17-77 Response to FOIA Request Thank you for writing to Hinsdale Township High School District 86 with your request for

More information

NEIGHBORHOOD COUNCIL MEMORANDUM OF UNDERSTANDING OPT-IN PROGRAM FOR THE 2016 GREATER LOS ANGELES HOMELESS COUNT January 26, 27, and 28, 2016

NEIGHBORHOOD COUNCIL MEMORANDUM OF UNDERSTANDING OPT-IN PROGRAM FOR THE 2016 GREATER LOS ANGELES HOMELESS COUNT January 26, 27, and 28, 2016 NEIGHBORHOOD COUNCIL MEMORANDUM OF UNDERSTANDING OPT-IN PROGRAM FOR THE 2016 GREATER LOS ANGELES HOMELESS COUNT January 26, 27, and 28, 2016 This Opt-In Program Memorandum of Understanding (MOU) sets forth

More information

Physical Readiness Questionnaire

Physical Readiness Questionnaire Physical Readiness Questionnaire Date Customer Name Address City State Zip Date of Birth H Phone Cell Phone Email Sex: M F Height Weight How did you hear about this Cryo Sauna Location? FOR MINORS ONLY:

More information

Walk For Autism Awareness

Walk For Autism Awareness Autism Support of Kent County Walk For Autism Awareness Sunday, April 28, 2013 12:00 noon to 3:00 p.m. Kuyper College 3333 E. Beltline, Grand Rapids, MI 49525 The event will be held Rain or Shine! Welcome

More information

Trees Hall. Bellefield Hall. Add a Fitness Center Membership for a small additional price!

Trees Hall. Bellefield Hall. Add a Fitness Center Membership for a small additional price! Classes Begin: Tuesday, 9/5/2017 Classes End: Friday, 12/8/2017 No Class: Labor Day: 9/4/2017 & Thanksgiving Break: 11/23-24/2017 Trees Hall Kettle + Conditioning Fitness Kickboxing Fitness Kickboxing

More information

Rotary Club Downtown Boca Raton - President

Rotary Club Downtown Boca Raton - President Rotary Club Downtown Boca Raton P.O. Box 880087, Boca Raton, FL 33488 (561) 299-1429 E-mail: info@rotarydowntownbocaraton.org www.rotarydowntownbocaraton.org MEMBERSHIP APPLICATION PLEASE PRINT Last Name,

More information

The National MS Society offers Wellness programs in the New Jersey Metro area , press option 1,

The National MS Society offers Wellness programs in the New Jersey Metro area , press option 1, The National MS Society offers Wellness programs in the New Jersey Metro area. The programs are for people with MS, and classes are adapted for different abilities. Caregivers/Partners are welcome to participate.

More information

CONTACT LIST. Zan Elvington Coordinator of Charleston Sports and Social Club Website:

CONTACT LIST. Zan Elvington Coordinator of Charleston Sports and Social Club   Website: CONTACT LIST The ALS Association South Carolina Chapter Address: 7499 Parkland Rd. Columbia, SC 29223 Phone: 803-851-3366 Fax: 803-851-3403 Website: www.scalsa.org Federal Tax ID #: 20-3780277 Gerald H.

More information

2013 Annual Symposium

2013 Annual Symposium 2013 Annual Symposium March 21-24, 2013 The Westin Lake Las Vegas Resort and Spa Henderson, Nevada Symposium 2013 Exhibitors Guide What s New Under The Sun? Innovative Approaches To Treatment ARE YOU.

More information