October 3rdBear Creek Park13750 88th Ave Surrey, BC

Picnic Site Near Track

Registration @10:00 - 11:00Walk/Roll @ 11:00 am

BBQ Lunch to follow

Korle-Bu Neuroscience Foundation

A Canadian charitable organization with a globalteamof passionate andproactive volunteers & partners.One of the few charities focused on providingimmediate and lifesaving medical support, with alongterm infrastructure vision.Prepared the master plans and programs for thedevelopment of contemporary North American standardhospitals and medical teaching sites at leading centresin Ghana.Established a neuroscience research departmentunder the auspices of the Department of Anatomy,University of Ghana.Established and supervises Korle-Bu NeuroscienceClubs at leading North American Universities.Ships containers of quality, urgently needed medicalequipment and supplies to Ghana, Liberia and Nigeria.Facilitates and conducts multi-national medical andteaching missions to Ghana, Liberia and Nigeria withmembers from the USA, Canada, Nigeria and Ghana.Provides critical care & medical training to localmedical professionals in Ghana & West Africa.Conducts Heart Power! motivational workshops for itsmembers and medical registrants at overseas medicalconferences.Pursuing establishment of a neuro rehabilitation centrefor Ghana and West Africa.

www.kbnf.org1.877.468.6380

Walk for the ‘Bu’is Korle-Bu Neuroscience Foundation’s annual 5

km non-competitive walk andwheelchair event. The

walk offers corporations and individuals the unique

opportunity to enhance the health and lives of

West African communities.

KBNF’s vision is to alleviate the suffering ofGhanaians and West Africans affected by injuriesand diseases of the brain & spine.

Every step taken and pledge received will helpraise much needed funds and heighten awarenessof our projects, medical missions and educationalservices provided to West Africans.

Walk for the 'Bu'5k

Walker/Roller

Pledge FormProud Sponsors:Diamond Delivery, Surrey, BC

Charlie's IGA, Walnut Grove, BC

5K ‘WALK FOR THE ‘BU’ WALKER PLEDGE FORMINDIVIDUAL REGISTRATION $10 �FAMILY REGISTRATION $25 �

Registration Includes a scrumptuous BBQ lunchContact Brenda to register @ bjmacleod2267@gmail.com

Participant Name: _________________________________________ Phone#: ______________________ Email: ________________________________________Tax receipts available for donations of $25 or more. Extra pledge forms available on request.

Donor’s Name (as it will appear on the tax receipt) Email / Address City Postal

CodeAmount Pledged

Date Collected

☐Cash ☐Cheque ☐Credit Card

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TOTAL ☐Collected ☐Entered

Participant’s / Guardian’s Signature DateIf Participant is a minor, the parent or guardian must agree to the above.Canada Revenue Agency Reg No. 85924 6837 RR0001

Donations welcome by cash, cheque or credit card. Tax receipt fordonations over $25. Please mail your donation to:Korle-Bu Foundation 9131 207B Street, Langley, BC, V1M 2P5

Donor’s Name (as it will appear on the tax receipt) Email / Address City Postal

CodeAmount Pledged

Date Collected

☐Cash ☐Cheque ☐Credit Card

☐Cash ☐Cheque ☐Credit Card

☐Cash ☐Cheque ☐Credit Card

☐Cash ☐Cheque ☐Credit Card

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TOTAL ☐Collected ☐Entered

WALK FOR THE BU RELEASE AND INDEMNIFICATION The Walk for the ‘Bu’ involves walking—an activity which may include risks such as, but not limited to, falls,interaction with other participants, effects of weather, traffic and conditions of the road. In consideration of being allowed to participate in this event, I hereby expressly assume allrisks, including personal injury and death, arising in any way out of my participation in the Walk for the ‘Bu’ or any related activities. I agree, for my self, my heirs, executors and administrators, to not sue and to release, indemnify and to hold harmless, Korle-BuNeuroscience Foundation and its affiliates, officers, directors, volunteers, and employees and all sponsoring businesses and organizations and their agents and employees from any and all liability, claims, demands and causes of action whatsoever, arising out of myparticipation in this event. I have read, understand and agree to the terms of this Agreement.