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MALL EASTVIEW 8:30 REGISTRATION 9:30 WALK BEGINS 10:30 COSTUME CONTEST Name Address City State Zip Team Name (if applicable) Team Captain (if applicable) Sunday, OCTOBER 27, 2019 EASTVIEW MALL REGISTRATION 8:30 a.m. WALK STARTS 9:30 a.m. COSTUME CONTEST 10:30 a.m. TEAM DONATIONS Contribuons may be mailed to Al Sigl before the WalkAbout or delivered the day of the Walk. Addional forms are available on the web at alsigl.org or by calling 585.442.4102 ext. 8944, or emailing [email protected]. DOLLARS SPONSOR’S NAME ADDRESS RECEIVED Please make checks payable to Al Sigl. THANK YOU SENT O O O O O O O O O O O O O Self Donation $25 4 SUNDAY 27 OCT #WhyIWalkAbout 2019 Honorary Chairs Colleen Wilmot and Dan Meyers Fully-Certified Computer Systems for Physicians Ridgewood Holdings Waldron Rise Foundation THANKS TO ALL OUR SPONSORS!
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Colleen Wilmot and Dan Meyers Name Address City State Zip ...€¦ · Team Name (if applicable) Team Captain (if applicable) Sunday, OCTOBER 27, 2019 EASTVIEW MALL REGISTRATION 8:30

Aug 13, 2020

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Page 1: Colleen Wilmot and Dan Meyers Name Address City State Zip ...€¦ · Team Name (if applicable) Team Captain (if applicable) Sunday, OCTOBER 27, 2019 EASTVIEW MALL REGISTRATION 8:30

MALLEASTVIEW8:30REGISTRATION

9:30WALK BEGINS10:30COSTUME CONTEST

Name

Address

City State Zip

Team Name (if applicable) Team Captain (if applicable)

Sunday, OCTOBER 27, 2019 EASTVIEW MALL REGISTRATION 8:30 a.m. WALK STARTS 9:30 a.m. COSTUME CONTEST 10:30 a.m.

TEAM DONATIONS

Contributions may be mailed to Al Sigl before the WalkAbout or delivered the day of the Walk. Additional forms are available on the web at alsigl.org or by calling

585.442.4102 ext. 8944, or emailing [email protected].

DOLLARS SPONSOR’S NAME ADDRESS RECEIVED

Please make checks payable to Al Sigl.THANK YOU SENT

OOOOOOOOOOOOO

Self Donation $25 4

SUNDAY

27OCT

#WhyIWalkAbout

2019 Honorary Chairs Colleen Wilmot and Dan Meyers

Fully-Certified Computer Systems for Physicians

Ridgewood HoldingsWaldron Rise Foundation

THANKS TO ALL OUR SPONSORS!

Page 2: Colleen Wilmot and Dan Meyers Name Address City State Zip ...€¦ · Team Name (if applicable) Team Captain (if applicable) Sunday, OCTOBER 27, 2019 EASTVIEW MALL REGISTRATION 8:30

Name

Address

City State Zip

Home Phone Cell Phone

Email

I am making tracks (please check one)

O As an individual

O As part of team:

O $25 Self Donation (includes t-shirt) O Other Amount

O Cash O Check O Visa O MasterCard

O Discover Card O American Express

Card number Exp. Date CVC

Name as it appears on card

Signature

Count me in to WalkAbout for:

O Al Sigl Community

O CP Rochester

O Epilepsy-Pralid, Inc.

O Medical Motor Service

O National Multiple Sclerosis Society

O Rochester Hearing & Speech Center

O Rochester Rehabilitation

REGISTRATION FORMFor fast and easy registration, visitalsigl.org/walkabout

BRING A TEAM OR COME MEET NEW FRIENDS Register online at alsigl.org/walkabout. Or print and mail this form.

RAISE FUNDS AND EARN PRIZES Start now by asking your family, friends, employer, neighbors, and coworkers to sponsor you. And set the pace with your own gift!

You can raise money for one or more agencies—or for all of us!

HAVE FUN ON OCTOBER 27 Registration begins at 8:30 a.m. by the food court or Mall Entrance 5. Sign in and enjoy breakfast on us. Make tracks along the one-mile course in the indoor comfort of the mall.

Questions? [email protected] or call 585.442.4102 ext. 8944

Complete this WalkAbout registration form by mail or email to:

Al Sigl WalkAbout1000 Elmwood Avenue, Suite 300Rochester, NY 14620-3098

[email protected]

alsigl.org

ACHIEVING MORE TOGETHER

WALK, ROLL AND CHEER FOR ABILITIES AT THE AL SIGL COMMUNITY WALKABOUT The Al Sigl WalkAbout is a Halloween-themed fundraiser for Al Sigl Community & our six Member Agencies. Now in its 30th year, this unique event brings together individuals, teams, businesses and agencies to have fun and raise funds for programs serving over 55,000 children and adults with special needs in our community.

Enjoy breakfast, a costume contest, and kid-friendly entertainment throughout the mall. Raise $25 or more by October 4th to be guaranteed to receive a WalkAbout t-shirt.

To learn more or to register online go to alsigl.org/walkabout