event sponsors - hinds hospice - hinds hospicethose listed above resulting from my/our participation...
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Angel MArkers $30 each in memory of:
□ I am not able to attend. Please accept my tax-deductible donation of $ _____________________________
regIsTrATIOn Fees (Includes Parking Fee until 8:00 a.m. at Woodward Park):On or before April 13: Total # of Adults: # _____ X $20 = $ _______ Total # of Children: # _____ X $12 = $ _______April 14 or later: Total # of Adults: # _____ X $25 = $ _______ Total # of Children: # _____ X $15 = $ _______ Total # of Angel Markers: # _____ X $30 = $ _______
grand Total Due $ ______________
□ Check □ Visa / MC / AMEX / Discover
Card Number ____________________________________________
Expiration _______________
Please make check payable to Hinds Hospice Angel Babies.
Mail by April 13 to Hinds Hospice Angel Babies Walk/Run, 2490 W. Shaw, Suite 101, Fresno, CA 93711
Angel MArkersPurchase a handcrafted and personalized angel marker for the race in memory of an angel baby or loved one for $30. The 2015 Angel Marker is in the shape of a lamb and stands about 3 ft. tall, making it the perfect addition to your home year round in memory of your loved one. All of the angel markers will line the finish line and are yours to keep following the race. Angel markers must be reserved by April 13. A limited number will be available on the day of the race. limited to 20 characters per angel marker.
Angel markers can also be purchased online and picked up the day of the race by visiting angelbabieswalkrun.kintera.org. Additional Angel Babies gear such as hats, license plates and bags can be purchased during t-shirt and race bib pick-up or the day of the race.
OTHer OPPOrTUnITIes | | | | | | | | | | | | | | | | | | | | || | | | | | | | | | | | | | | | | | | | |
A FUnDrAIsIng WAlk/rUn TO BeneFIT THe HInDs HOsPICe Angel BABIes PrOgrAM
Woodward Park, ne 12 acres, Fresno • race Director: ken Takeuchi, Pro race group
sATUrDAY, MAY 2, 2015
Don't Miss The 11th Annual Angel Babies Walk/run. register Today!
eVenT sPOnsOrs
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TINKLER Funeral Chapel & Crematory www.tinklerfuneralchapel.com
FD-281
TINKLER Funeral Chapel & Crematory www.tinklerfuneralchapel.com
FD-281
2490 W. Shaw Ave., Suite 101
Fresno, CA 93711
W A L K/R U NWe walk for the steps they’ll never take.
W A L K/R U NWe walk for the steps they’ll never take.
♥To Our Sweet Angels Sydney Leslie &
Colton C.J. Regier
NoN-PRoFIT oRgu.S. PoSTAgE
PAID FRESNo, CA
PERMIT No. 2350
WAIVer: In consideration of accepting my entry, I and those listed above, intending to be legally bound for ourselves, our heirs, executor and administrators, waive and release any and all rights to claims or damages we may accrue against Hinds Hospice, The City of Fresno, committee members of the Hinds Hospice Angel Babies Walk/Run and all sponsors and race officials, their agents for any and all injuries, ailments or other consequences suffered by me and those listed above resulting from my/our participation in the Hinds Hospice Angel Babies Walk/Run on Saturday, May 2, 2015. I/we hereby grant full permission to Hinds Hospice or agents authorized by them to use any photographs, videotapes, motion pictures, recordings, or any other record of this event for any legitimate purpose. I/we have read and understand everything written above.
signature _____________________________________________________________________________________________ Date ______________________________________________
Angel BABIes WAlk/rUn PleDge FOrM
Angel BABIes WAlk/rUn regIsTrATIOn FOrM
You CAN HELP EVEN MoRE BY CoLLECTINg PLEDgES!
WE ENCouRAgE You To DuPLICATE THIS FoRM.
DOnOr’s nAMe AMOUnT reCeIVeD
1. __________________________________ $ _________________
2. __________________________________ $ _________________
3. __________________________________ $ _________________
4. __________________________________ $ _________________
5. __________________________________ $ _________________
6. __________________________________ $ _________________
7. __________________________________ $ _________________
8. __________________________________ $ _________________
9. __________________________________ $ _________________
10. _________________________________ $ _________________
TOTAl AMOUnT COlleCTeD $ _________________
THIs 11TH AnnUAl WAlk/rUn promises to be another special event allowing families and community members to come together to honor and remember the many precious babies gone too soon.
rACe DAY sCHeDUle
DIreCTIOns The race will take place at Woodward Park in Fresno. Registration as well event activities will be located in the ne 12 acres near the Friant Ave entrance. Registration fees includes free parking in the park until 8:00 a.m. After 8:00 a.m. there will be a $5 parking fee per car. For a detailed map of Woodward park or for more information visit www.hindshospice.org.
This event will occur rain or shine, however, we reserve the right to cancel in extreme circumstances. In that event, there will be no refunds; your entry fee will be used as a donation for the Hinds Hospice Angel Babies Program. Please know that races will start on time and due to the large number of participants expected, please arrive early to avoid traffic at the park.
TeAMs get your family, friends, neighbors and co-workers together and form a team! Walk in memory of an Angel Baby or in your family or company’s name. A special prize will be awarded to the team with the most paid participants registered by April 13. Please indicate your team name and team captain on your registration form.
Please note: each team must have a designated team captain. The team captain will be the primary contact for the team and will be responsible for picking up race bibs and t-shirts and distributing to the team members.
sPOnsOrsHIPs Family and/or corporate sponsorships are available and range from $150 to $7,500. Please visit www.hindshospice.org for more information.
rAFFle You will not want to miss out on the exciting raffle! You have the chance to win some amazing prizes that will be fun for the whole family.
Tickets are $1 each or 25 for $20. You can purchase your tickets at the event, or in advance by calling (559) 320-0308.
T-sHIrT AnD rACe BIB PICk UP T-shirt & race bibs will be available for pick up on Thursday, April 30 from 2:30 p.m. - 5:30 p.m. and Friday, May 1 from 9:00 a.m. - 6:00 p.m. in the front lobby of the Hinds Hospice Patient & Family Service Center at 2490 W shaw, suite 101, Fresno.
For those participants wishing to decorate their t-shirts with photos and/or team names, we encourage your team captain to pick up your t-shirts and race bibs prior to race day. Teams and individuals are welcome to wear their own t-shirts, however race bibs will be required to participate in All events.
You may also pick up your race bib and t-shirt on race day beginning at 6:45 a.m. at the registration tent.
T-shirts will be distributed on a first-come, first-served basis, and upon size availability for late and day of registrants.
BreAkFAsT Breakfast will be available for $5 per person, prepared by the North Fresno Lions. Tickets for the breakfast can be purchased at the event with all proceeds to benefit the Angel Babies program.
kIDs zOne There will be lots of games and prizes for kids. The Kids Zone is presented by our friendly volunteers from Aetna.
Contact us: event and volunteer information: (559) 320-0308 or [email protected]
Angel Babies program information: kathy Cromwell at (559) 248-8579 or [email protected]
regIsTrATIOn: M FAMIlY M InDIVIDUAlPlease note: Each participant 18 and over must sign waiver. For participants under 18 waiver must be signed by parent or legal guardian.
An e-mail address is required for all adult registrations.
Participant #1 (Person responsible for this registration form and its contents)
FIRST NAME: ___________________________________________________ LAST NAME: _________________________________________________
ADDRESS: ________________________________________ CITY _________________________________ STATE _________ZIP _________________
PHoNE: __________________________________________ E-MAIL: __________________________________________________________________
TEAM NAME: ________________________________________________TEAM CAPTAIN: ________________________________________________
Participant #2
FIRST NAME: ___________________________________________________ LAST NAME: _________________________________________________
Participant #3
FIRST NAME: ___________________________________________________ LAST NAME: _________________________________________________
Participant #4
FIRST NAME: ___________________________________________________ LAST NAME: _________________________________________________
To register online go to:
www.hindshospice.org
If you would no longer like to be on the Hinds Hospice mailing list, please contact Hinds Hospice at (559) 320-0308.
regIsTrATIOn Fees
WE ENCouRAgE You To DuPLICATE THIS FoRM.
For each fundraising milestone you reach, you earn exclusive Angel Babies gear. To learn more about the prizes you could win while raising money for Angel Babies visit www.hindshospice.org.
WHAT Is THe HInDs HOsPICe Angel BABIes PrOgrAM?
The mission of the Hinds Hospice Angel Babies program is to comfort, support and uphold the dignity of families whose babies have a life limiting condition or whose babies have died. Since its inception in 2001, the Angel Babies program has supported over 3,800 families. Our staff begins supporting families from the time of diagnosis or death, often responding to local hospitals. We also offer extensive bereavement support services.
6:45 am ............REgISTRATIoN
7:30 am.............5K START
7:30–10:00 am ..KIDS ZoNE ACTIVITIES & BREAKFAST
8:00 am ............2 MILE FuN WALK/RuN START
9:00 am ............1/4 MILE KIDS FuN RuN (7-10 YR oLDS)
9:05 am ............1/8 MILE KIDS FuN RuN (5-6 YR oLDS)
9:10 am .............1/8 MILE KIDS FuN RuN (4 YR oLDS & uNDER)
9:30 am ............RAFFLE DRAWINg
All rACes Are nOn-COMPeTITIVe
$20 adults - postmarked on or before April 13$25 adults - postmarked April 14 or later$12 child - postmarked on or before April 13$15 child - postmarked April 14 or later
Angel Babies Walk/Run registration includes Woodward Park parking fee until 8:00 a.m., a race bib and commemorative t-shirt.
TEAM NAME:____________________________________________________________________
TEAM CAPTAIN: _________________________________________________________________
FIRST NAME: ____________________________________________________________________
LAST NAME: ____________________________________________________________________
ADDRESS: ______________________________________________________________________
CITY: ___________________________________ STATE: _______________ ZIP: _____________
PHoNE: ________________________________________________________________________
EMAIL: _________________________________________________________________________
□ CHILD (10 & uNDER) SHIRT SIZE: S M L □ ADuLTSHIRT SIZE: S M L XL XXL 3XL
□ CHILD (10 & uNDER) SHIRT SIZE: S M L □ ADuLTSHIRT SIZE: S M L XL XXL 3XL
□ CHILD (10 & uNDER) SHIRT SIZE: S M L □ ADuLTSHIRT SIZE: S M L XL XXL 3XL
□ CHILD (10 & uNDER) SHIRT SIZE: S M L □ ADuLTSHIRT SIZE: S M L XL XXL 3XL
Help raise additional funds for Angel Babies by collecting donations from friends, family members and coworkers. You may use this form or create your own fundraising page at
angelbabieswalkrun.kintera.org
All participants who register online will be entered to win an exclusive Angel Babies prize pack!