10TH ANNUALACTIVEFORAUTISM

SAVE THE DATE

FHFGBR.ORG

27APRIL

SATURDAY LOCATION:

8:00AM TO 11:30AM

Pennington Biomedical Research Center6400 Perkins Rd.Baton Rouge, LA 708082 0 1 9

5K RUN/WALK AND FUN FESTBENEFITING FAMILIES HELPING FAMILIES OF GREATER BATON ROUGE

Sponsorship Registration Form

SPONSOR BENEFITSPresenting Sponsor $10,000 & UP• All of Platinum Sponsor’s privileges• Industry exclusivity for level• Event Grand Marshall / Key Presenter• Option to have a team of 20 people• Premium booth and display table• Prominent logo on t-shirt and graphics• Up to 2 company banners displayed• Commemorative event photo

Platinum Sponsor $7,500 - $9,999• All of Gold Sponsor’s Privileges• 2 reserved parking spots• Company logo on t-shirt and graphics• Option to have a team of 10 people

Gold Sponsor $5,000 - $7,499• All of Silver Sponsor’s Privileges• One reserved parking spot• Up to 1 company banner displayed• Company logo on t-shirts and graphics• Event booth and display table

Silver Sponsor $2,500 - $4,999• All of Patron Sponsor’s Privileges• Recognition at event by MC• Company logo on event website• Company logo on t-shirt and graphics• Recognition in all press releases Patron Sponsor $500-$2,499• Name on signage along the route • Company name on main banner• Recognized in all AFA e-blasts• Company name on event website• Listed in appreciation press release• Company name on event poster

DON’T WAIT!EARLY SPONSORSHIP MAXIMIZES AMENITIES!

Sponsorship Deadline04.05.19

SPONSORSHIP LEVELS

Presenting Sponsor $10,000 & UP Platinum Sponsor $7,500 - $9,999 Gold Sponsor $5,000 - $7,499 Silver Sponsor $2,500 - $4,999 Patron Sponsor $500 - $2,499

CONTACT INFORMATIONContact: Title / Position: Organization: Address: City: State: ZIP: Primary Phone: Email Address:

__________________________________________________________________ _________________(Authorized Signature) (Date)

__________________________________________________________________ _________________ (Date)

Do you want to remain anonymous?

Please complete this form and fax it to 225-216-7977 or mail it to Families Helping Families of GBR, 2356 Drusilla Lane, Baton Rouge, LA 70809 with payment in full.

Checks preferred. Please make checks payable to FHFGBR

PAYMENT INFORMATIONName on Card: __________________________________________________________________Billing Address: __________________________________________________________________City: _____________________________ State: _______ ZIP: __________________Card Number: _____________________________ Exp: _________ CSV: _________________

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Saturday, April 27th

8:00AM – 11:30AM

Pennington Biomedical Research Center 6400 Perkins Rd. Baton Rouge, LA 70808

Get Active for Autism and Support the Resource Center for Autism Spectrum Disorder,

a program of Families Helping Families of Greater Baton Rouge

Autism costs society approximately $35 billion to care for all individuals diagnosed each year over their lifetimes. It costs approximately $2.3 million to raise a child with Autism as compared to $290,000 to raise a child without a diagnosis of Autism. The Center for Disease Control and Prevention says that 1 in 59 children are diagnosed with Autism; another family starts its puzzle. The Resource Center for Autism Spectrum Disorder, a program of Families Helping Families of Greater Baton Rouge, helps the puzzle become more manageable.

Through Families Helping Families of Greater Baton Rouge (FHFGBR), thousands of people have assistance as they navigate through the maze of options available for those with a disability and their families. Every day, Resource Specialists assist families with telephone support and other unbiased resources that provide options for the financial, social, educational, and legal needs of families and loved ones with a diagnosis of Autism Spectrum Disorder.

If you were to ask recipients of the services offered through FHFGBR, what changed the most in their lives after becoming involved here, those helped would tell you that it’s simple; we got answers at a time when we didn’t know the questions to ask. Instantly, life changes for those learning that a loved one has a diagnosis of ASD. The Resource Center for Autism Spectrum Disorder (RCASD) provides more than specialized services. It provides peer support, a friend of sorts, to share with through the experiences, and someone to learn from as one navigates through the puzzle.

Families Helping Families of Greater Baton Rouge needs your help to continue making these resources available to our community through the Resource Center for Autism Spectrum Disorder. Today, of the over 14,000 families we have served, our program encounters approximately 5,000 families throughout the Capital Region who are living with a diagnosis of ASD.

PARTICIPATE IN THE 10 T H ANNUAL ACTIVE FOR AUTISM 5K RUN/WALK & FUN FEST

Active for Autism is a fun community event that raises money to support the Resource Center for Autism Spectrum Disorder (RCASD), a program offered through Families Helping Families of Greater Baton Rouge.

Active for Autism will take place on: Saturday, April 27, 2019 from 8:00AM to 11:30AM Participants will enjoy food, fun activities, and entertainment! For event information, visit www.fhfgbr.org or contact Families Helping Families of Greater Baton Rouge at (225)216-7474

It’s who we are. It’s what we do.

Families Helping Families gives families of children with disabilities

knowledge, support and confidence, always free of charge.

• We answer questions and provide assistance for any disability at any age.

• We can teach you to advocate for your child and over time your child will learn to self-advocate.

• We help you navigate support systems and overcome challenges.

• You are not alone; 1 in 8 children in Louisiana has a disability.

Families Helping Families of Greater Baton Rouge is part of a statewide network of resource centers staffed by trained,

knowledgeable families of children with disabilities, since 1991.

It’s who we are. It’s what we do.

follow us on twitter:twitter.com/FHFBatonRouge

like us on facebook:facebook.com/familieshelpingfamiliesofgreaterbatonrouge

scan for more information

Begin receiving information today by texting FHFGBR to 22828225-216-7474 • fhfgbr.org • info@fhfgbr.org • 2356 Drusilla Lane, Baton Rouge, LA 70809

Make your tax deductible donation by visiting fhfgbr.org/donate

It’s who we are. It’s what we do.

Families Helping Families can support you in educating any child with any disability.

• We can help you increase student success.• We can help you increase parental

involvement in their children’s education.• We can provide professional development for

teachers and administrators.

Refer families of children with disabilities to us!

Families Helping Families of Greater Baton Rouge is part of a statewide network of resource centers staffed by trained,

knowledgeable families of children with disabilities, since 1991.

It’s who we are. It’s what we do.

follow us on twitter:twitter.com/FHFBatonRouge

like us on facebook:facebook.com/familieshelpingfamiliesofgreaterbatonrouge

Begin receiving information today by texting FHFGBR to 22828225-216-7474 • fhfgbr.org • info@fhfgbr.org • 2356 Drusilla Lane, Baton Rouge, LA 70809

Make your tax deductible donation by visiting fhfgbr.org/donate

scan for more information

Families Helping Families of Greater Baton Rouge is a family-driven resource center for individuals with disabilities and their families. Our mission is to provide the individualized services, information, resources, and support needed to positively enhance the independence, productivity, and integration of persons with disabilities into the community. We serve all ages and all disabilities including famil ies andyouth with addictive disorders and mental health issues, all free of charge. We empower families and individuals with disabilities to advocate, �nd joy, hope, and success in spite of their challenges, as well as navigate the maze of services available to them. Through sharing personal experiences as families of children with disabilities, our knowledgeable sta� is uniquely positioned to increase con�dence in other families and improve outcomes for their children throughout their lifetime.

FHFGBR a disability could be developmental, psychological, or physical as well as learning and other non-visible disabilities. Additionally, we support families and youth with behavioral health issues and addictive disorders across the state. FHFGBR can answer your questions, provide support, resources, and referrals for you or your family member with a disability.

FHFGBR serves the following parishes: East Baton Rouge,West Baton Rouge, East Feliciana, West Feliciana, Ascension,Pointe Coupee, Iberville, and Livingston.

Begin receiving information today by texting FHFGBR to 22828

225-216-7474 • fhfgbr.org • info@fhfgbr.org2356 Drusilla Lane, Baton Rouge, LA 70809

Make your tax deductible donation by visiting fhfgbr.org/donate

It’s who we are. It’s what we do.

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Services that you, your child or your family member may qualify for:Birth FHF training on early intervention services EarlySteps referral Individual Family Support Plan (IFSP), if eligible Medicaid/Family Opportunity Act Early Periodic Screening and Diagnostic Testing

EPSDT (if Medicaid Eligible) Social Security Administration (SSI) Transition into Pre-K3 years old and over FHF training on education rights for children

with disabilities FHF training on community supports Referral to school district (Child Search) School district evaluation School district determination Individualized Education Plan (IEP) or 504

meeting and plan, if eligible Local human services district/authority

statement of eligibility date________________

Flexible Family Fund date__________________

Waiver registry date ______________________16 years old and over FHF training on age of majority and legal status Transition plan from school Interdiction/continuing tutorship Louisiana Rehabilitation Services (LRS)18 years old and over FHF training on post high school options Reapply for SSI (18 years old) Long Term Personal Care Services (LT-PCS)

(if Medicaid eligible and don’t have NOW) Supports Waiver (18 and older if not on New

Opportunity Waiver (NOW)) Louisiana Rehabilitation Services (LRS)

Begin receiving information today by texting FHFGBR to 22828

225-216-7474 • fhfgbr.org • info@fhfgbr.org2356 Drusilla Lane, Baton Rouge, LA 70809

Make your tax deductible donation by visiting fhfgbr.org/donate

follow us on twitter:twitter.com/FHFBatonRouge

like us on facebook:facebook.com/familieshelpingfamiliesofgreaterbatonrouge