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1 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 raise funds to support Beads of Courage and the Center for ArtsinMedicine for children coping with cancer and other serious illness. Amazing Prizes Take a byte of an Apple if you raise more than the minimum of $60 & submit your collected donations by March 25, 2011, you ll receive: Raise $200 Raise $500 Raise $800 $1,100 $1,500 $2,000 Apple ipod shuffle Apple ipod nano Apple ipod touch Apple ipad with WiFi 16GB Apple ipad with WiFi 32GB Apple ipad with WiFi+3G 64GB, It s EASY to participate! If you are between 1218 years old you qualify! Just raise a minimum of $60.00 to reserve your spot in the danceathon. Do you have 10 friends or relatives that have at least $6 to donate? If so, then YOU ARE IN! Event includes Courage in Motion T Shirt Swag Bag with Free Stuff Snacks Refreshments Pizza Party Raffle Prizes Best Plus! BIG PRIZES for the most money raised! Costume Prizes Hours of Theme Music Top s Electronica/Bollywood Glee Hip Hop Disco Country Western Club Music Beach Party! TO REGISTER Register ONLINE at and download fundraising forms! The Rules Have Fun! Must dance unless on break No Horse play No alcohol, drugs or tobacco No use of foul language Maintain high standards of conduct as a student and citizen 2011 Beads of Courage What to bring Lots of Friends Comfortable clothes Comfortable shoes to dance in (no heels allowed on gym floor) Creative accessories for each Theme Hour to be eligible for prizes for best costume Positive Attitude! For more information call Pam Carnes, Event Coordinator, mission of Beads of Courage, Inc. (a 501(c)3 taxexempt organization) is to provide innovative, artsinmedicine programs The for children coping with cancer and other serious illness, their families and the health care providers who care for them.
2 Dear Parent or guardian Beads of Courage (a 501(c)3 taxexempt organization) will be hosting the First Annual Courage in Motion DanceaThon to raise funds to support Beads of Courage and the Center for ArtsinMedicine. Through innovative, artsinmedicine programs provided by Beads of Courage and the Center for ArtsinMedicine, children coping with cancer and other serious illness have HOPE, experience JOY, and find COURAGE. Funds raised from the Courage in Motion DanceaThon will also help with the development and implementation of a new, innovative movement program for children coping with serious illness. In order for your son or daughter to participate in the Courage in Motion 10Hour DanceaThon we need your permission. The key elements of the DanceaThon are bulleted below. Where and When: Saturday, April 2, am to 8pm Onsite checkin begins at 9:00 am Bear Down Gym, The University of Arizona campus Who IS eligible: Children 1218 years of age are eligible to participate Participants must raise a minimum of $60 in donations to participate by March 25, OTHER Details: Each participant is required to raise a minimum of $60 or more to participate. Participants may choose to register online and make their $60 donation directly, or use the pledge forms provided to solicit support from friends and family. All participants must return a signed pledge sheet and payment for the minimum pledge no later than March 25, 2011 to be registered as a Courage in Motion participant. All donations are 100% taxdeductible (tax id# ), and Beads of Courage will send a receipt of donation for taxrelated purposes. Every participant will receive an event T shirt, and event bag that includes raffle tickets, coupons and cool free stuff donated by our event sponsors. There will be 10minute rest breaks between each hour, and live performances from professional and semiprofessional Tucson dance companies Snacks & beverages are provided complimentary throughout the event for all participants including a pizza party at completion of the event Participants 12 to 15 years of age will be required to have a parent or an adult supervisor sign the participant in and out of the event. No exceptions. The DanceaThon will conclude with a Pizza Party and Awards presentation that begins at 6:30 pm. Awards will be given for best costumes (per themed hour), and for the most funds raised. (See attached) The Courage inmotion DanceaThon will be chaperoned by adults on a 1:15 adult to child ratio, and the premises will be secured for your child s safety. Parents may leave registered children at the event and are encouraged to return to attend the Awards Ceremony that begins at 6:30pm. The attached Registration Form must be returned with your child s collected donations to Beads of Courage no later than March 25, Should you have any questions or desire further information, please feel free to or call our event coordinator, Pam Carnes at or visit our website at
3 Pledge Form Saturday, April 2, am to 8pm The University of Arizona Bear Down Gym To benefit Beads of Courage and the Center for ArtsinMedicine Courage in Motion Participant Name PHONE Corporate Match Partner Address CITY STATE Zip Please support me at the Courage in Motion DanceAThon which will help to provide the Beads of Courage Program and other artsinmedicine programs for children coping with cancer and other serious illness. My goal is to raise, with a minimum requirement to raise $60 by March 25, 2011 to secure my spot at the DanceAThon on April 2, 2011 from 10am to 10pm in Bear Down Gym at the University of Arizona. Please be sure to include everyone s name and address. Beads of Courage will mail all friends a receipt of donation for taxrelated purposes. Beads of Courage, Inc. is a 501(c)3 taxexempt organization. All donations are 100% taxdeductible. (tax id # ) Pledge $5 $10 $15 $20 Other Friend s Name and Address full name, street, city, state, zip Total Donation Thank you for your support! If you have additional sponsors, please attach an additional form. All participants must return a signed pledge sheet and total funds collected by March 25, 2011 to Beads of Courage to be registered to participate in the Courage in Motion DanceaThon. Please make checks payable to Beads of Courage Signature of Participant Total Collected
4 Extra Pledge Form Pledge $5 $10 $15 $20 Other Friend s Name and Address Total Donation Thank you for your support! If you have additional sponsors, please attach an additional form. All participants must return a signed pledge sheet and total funds collected by March 25, 2011 to Beads of Courage to be registered to participate in the Courage in Motion DanceaThon. Please make checks payable to Beads of Courage Signature of Participant Total Collected
5 Registration Form Participant s Name: Address: City: State: Zip: Birth Date: / / Age: Male: Female: Name of School: Youth Shirt Size: (circle one) Small Med Large XL XXL Mother/Guardian s Name: Home Phone: Cell Phone: Work Phone: Father/Guardian s Name: Home Phone: Cell Phone: Work Phone: In case of emergency, and a parent/guardian cannot be contacted, the event organizer is authorized to contact others as indicated below in the order listed. Name (friend/relative): Cell Phone: Name (friend/relative): Cell Phone: Will you be bringing any medications to the event? If Yes, medicine must be given to an adult chaperone at the event with instructions. Participant Code of Conduct 1. Refrain from the use or possession of alcohol, drugs, or tobacco. 2. Refrain from any form of hazing of fellow participants. 3. Refrain from the use of foul language. 4. Maintain high standards of conduct as a student and as a citizen. Waiver In consideration of the acceptance of this entry, I hereby, for myself and my heirs, executors, and administrators, waive any and all rights, claims for damages I may have against Beads of Courage, Inc., the event organizers, all event sponsors, and all individuals associated with the event. None of the above are responsible for the loss of personal items, or any form of aggravation in connection with event. I understand that I must be in good physical health to participate and do not hold event organizers liable for any problems associated with my physical condition. In filling out this form, I acknowledge I have read and fully understand my own liability and do accept the restrictions. We agree that the participant code of conduct and terms of participation in the CourageinMotion DanceAThon are important to the safety and well being of all participants. We agree to abide by these rules and the terms of participation and to conduct ourselves accordingly. Signed: Student/Participant NAME Signed: Parent/Guardian NAME Date: Date:
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