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Page 1: 1 st  Teen Pregnancy Prevention Walk Educate – Develop - Empower

1st Teen Pregnancy Prevention Walk

Educate – Develop - Empower

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

Date: Saturday, November 6, 2010

Time:11:00 am Registration12:00 am Youth Check-in (17 & under)

12:30 am Adult Check-inAll Walkers Welcome

Donation:$20 Registration prior to 10/30/10$10 Youth – pre reg only$25/$15 After 10/30/10

Entry fees non-refundable

Mail form(s) & donation(s) to:Making A Difference Foundation, IncC/o Yvonne McCoyP.O. Box 185308Hamden, CT 06518

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 our 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-out Teen Pregnancy

MADF

More Info Contact:: Yvonne McCoy(203)[email protected]

Walk Location: Edgewood ParkNew Haven, CT 06511

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