2nd Teen Pregnancy Prevention Walk/Ride

Educate – Develop - Empower

RAIN or SHINE!!!Making A Difference Foundation, Inc. (MADF)Invites you to walk or ride to bring about awareness to support our Teen Pregnancy Prevention & Leadership Program (TPPLP).

Date: Saturday, June 16, 2012

Time: 9:00 am Pre-Registration 9:30 am Youth/Adult Check-in 10:00 am – 1:00 p.m. Walk/Ride

All Walkers Welcome

Donation:$20 Registration prior to 5/16/12$15 Youth – pre reg only (17 & under)

$25/$20 After 5/16/12Entry fees non-refundable

Mail form(s) & donation(s) to:Making A Difference Foundation, Inc (MADF)c/o Yvonne McCoyP.O. Box 185308Hamden, CT 06518Make checks payable to: MADF

Name:____________________________Address:___________________________________________________________Phone:___________________________E-mail: ___________________________Age: _____________________________

T-Shirt Size: M L XL (Circle Size)

Waiver: In consideration of this entry being accepted. I do for myself, or any person or concern who may, on my behalf, hereby hold harmless and release Making A Difference Foundation, Inc., all sponsors and volunteers from any and all claims for personal injury, damages arising out of, or connected with, my participation in this event. I attest and verify that I have knowledge of the risks involved in participating in any of the walk and that I am physically fit to participate.

______________________________________________ ____________________________________________Signature Date Signature of parent/guardian if under 18 of age Date

Help us Walk/ride-out Teen Pregnancy

MADF

For more Info Contact:: Yvonne McCoy(203)848-0551 ormadf98yam@yahoo.com

Walk/Ride Location: Farmington Canal Heritage Trail Start: Goodrich Street End: Skiff St (Stop & Stop)