AUTISM PROJECTstorage.googleapis.com/wzukusers/user-14113505... · Registration Mailer_Layout 1...

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Saturday, September 19 9AM Great Hollow Lake at Wolfe Park - Monroe, CT WEAR YOUR COLORS PROUD & SUPPORT The Kennedy Center AUTISM PROJECT Grand Prizes for Most Colors Worn & Most Creative 100 YARD BUBBLE DASH for children 12 & under Live Music, Casey Carle’s BubbleMania, Food Trucks SpectRUN Tent for Participants after race w/food provided by TACO LOCO for more information www.KC-Autism.org or CALL 203.365.8522, Ext. 216 Saturday, September 19, 2015 Great Hollow Lake at Wolfe Park, Monroe, CT benefiting THE AUTISM PROJECT MAIL ENTRIES with (non-refundable) Payment to: The Kennedy Center SpectRUN 2440 Reservoir Avenue Trumbull, CT 06611 OR REGISTER ONLINE AT www.KC-Autism.org/spectrun 5K 12&under Student Early Bird until 8/10 r$25 r$10 r$20 Deal #2 until 8/31 r$30 r$15 r$20 Fee after 8/31 r$35 r$20 r$25 Tee Shirt Size rTL rS rM rL rXL rXXL Children under 5 yrs are free w/parent This is NOT a Timed Race Become a Personal FUNdraiser & with every $50 of donations, registration fee is waived. Sign-Up at www.KC-Autism.org/spectrun I’m not able to participate, but would like to make a donation to The Autism Project in the amount of $_______. I would like to pay by: rMC rVisa rAMEX or rCheck Enclosed Name: ________________________________________ Address: ______________________________________ City: ____________ State: ________ Zip: __________ Email: ________________________________________ Phone: _______________________________________ Emergency Contact: ___________ Phone: ________ Credit Card #: ___________________ Total: $_______ Name on Card: __________________ Exp: _________ 3-4 Digit Code: _____ Signature: _________________ WAIVER: I, the participant, intending to be legally bound and hereby waive or release any and all right and claims for damages or injuries that I may have against The Kennedy Center, Inc. or the Town of Monroe, and all of their agents assisting with the event for any and all injuries to me or my personal property. This release in- cludes all injuries and/or damages suffered by me before, during or after the event. I certify as a material condition to my being permit- ted to enter this race that I am physically fit and sufficiently trained for the completion of this event. By submitting this entry, I acknowl- edge (or a parent or adult guardian for all children under 18 years) having read and agreed to the above waiver. _____________________________________________________ Signature of Participant or Parent if under 18 The Kennedy Center Autism SpectRUN 2440 Reservoir Avenue Trumbull, CT 06611 Return Service Requested Non Profit U.S. Postage PAID Permit # 519 Bridgeport, CT Registration Mailer_Layout 1 7/30/2015 9:48 AM Page 1

Transcript of AUTISM PROJECTstorage.googleapis.com/wzukusers/user-14113505... · Registration Mailer_Layout 1...

Page 1: AUTISM PROJECTstorage.googleapis.com/wzukusers/user-14113505... · Registration Mailer_Layout 1 7/30/2015 9:48 AM Page 1. RACE INFORMATION Race Coordinator Jo Ann McMullan Tel: 203.365.8522,

Saturday, September 199AM

Great Hollow Lakeat Wolfe Park - Monroe, CT

WEAR YOUR COLORSPROUD & SUPPORT

The Kennedy Center

AUTISM PROJECTGrand Prizes

for Most Colors Worn & Most Creative

100 YARD BUBBLE DASHfor children 12 & under

Live Music, Casey Carle’s BubbleMania,Food Trucks

SpectRUN Tent for Participantsafter race w/food provided by

TACO LOCO

for more informationwww.KC-Autism.orgor CALL 203.365.8522, Ext. 216

Saturday, September 19, 2015Great Hollow Lake at Wolfe Park, Monroe, CT

benefiting THE AUTISM PROJECTMAIL ENTRIESwith (non-refundable) Payment to:

The Kennedy Center SpectRUN2440 Reservoir AvenueTrumbull, CT 06611

OR REGISTER ONLINE AT www.KC-Autism.org/spectrun

5K 12&under StudentEarly Bird until 8/10 r$25 r$10 r$20Deal #2 until 8/31 r$30 r$15 r$20Fee after 8/31 r$35 r$20 r$25Tee Shirt Size rTL rS rM rL rXL rXXL

Children under 5 yrs are freew/parentThis is NOT a Timed Race

Become a Personal FUNdraiser & with every $50 of donations, registration fee is waived.

Sign-Up at www.KC-Autism.org/spectrun

I’m not able to participate, but would like to make a donation to The Autism Project in the amount of $_______.

I would like to pay by: rMC rVisa rAMEXor rCheck Enclosed

Name: ________________________________________Address: ______________________________________City: ____________ State: ________ Zip: __________Email: ________________________________________Phone: _______________________________________Emergency Contact: ___________ Phone: ________Credit Card #: ___________________ Total: $_______Name on Card: __________________ Exp: _________3-4 Digit Code: _____ Signature: _________________ WAIVER: I, the participant, intending to be legally bound andhereby waive or release any and all right and claims for damages orinjuries that I may have against The Kennedy Center, Inc. or theTown of Monroe, and all of their agents assisting with the event forany and all injuries to me or my personal property. This release in-cludes all injuries and/or damages suffered by me before, during orafter the event. I certify as a material condition to my being permit-ted to enter this race that I am physically fit and sufficiently trainedfor the completion of this event. By submitting this entry, I acknowl-edge (or a parent or adult guardian for all children under 18 years)having read and agreed to the above waiver.

_____________________________________________________Signature of Participant or Parent if under 18

The Kennedy Center

Autism

SpectR

UN

2440 Reservo

ir Aven

ue

Trumbull, C

T 06611

Return Service R

equested

Non Profit

U.S. P

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Perm

it # 519

Bridgeport, C

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Registration Mailer_Layout 1 7/30/2015 9:48 AM Page 1

Page 2: AUTISM PROJECTstorage.googleapis.com/wzukusers/user-14113505... · Registration Mailer_Layout 1 7/30/2015 9:48 AM Page 1. RACE INFORMATION Race Coordinator Jo Ann McMullan Tel: 203.365.8522,

RACE INFORMATION

Race Coordinator Jo Ann McMullanTel: 203.365.8522, Ext. 229Email: [email protected]

DATE: Saturday, September 19, 2015

PLACE: Great Hollow Lakeat Wolfe ParkMonroe, CT

DIRECTIONS:Go to www.KC-Autism.org/SpectRUN and scroll tothe bottom for directions to Great Hollow Lake.

TIME: 5K Color Fun Run/Walk 9amRunners will start the race at 9am with Walkers linedup behind and immediately starting after at 9:10am.

100YD BUBBLE DASH 10:30am100 Yard Bubble Dash is for Children 12 & under.Casey Carle of BubbleMania will officiate the race.

ENTRY FEES (non-refundable)Early Bird Fee through 8/10Adults $25Children 12 & under $10Students $20

Still a Deal Fee through 8/31Adults $30Children 12 & under $15Students $20

Entry Fee after 8/31 & Race DayAdults $35Children 12 & under $20Students $25

Children 5 & Under are free with parentThis is NOT a timed racePersonal FUNdraiser with donations of $50 can waive Entry Fee.

ONLINE REGISTRATION available at www.KC-Autism.org/spectrun

Become a Personal FUNdraiser by signing up onour website. Recognition and prizes are given forfundraisers raising $50, $100, $200, $500 or$1,000. It’s easy to do and helps support these much-needed services.

DAY OF RACE:

Registration: 7:30 - 8:45amT-shirts & bibs are distributed at registration

Parking:There is ample parking at the Lake, but if needed, spill over can park in the Oak Grove area (shuttle buses will be provided)

RACE FEATURES:

sThere will be 2 Water StopssPrizes will be given to everyone finishing the RacesParticipants are asked to WEAR as manycolors as they wish from head to toe

RACE HIGHLIGHTS:

sT-Shirts will be given to all pre-registered participants and the first 50 on day of race &can be picked up the day before at 2440 Reservoir Avenue, Trumbull, from 9 - 4pm.sEach child participating in the 100YD BubbleDash will receive a prize.sAll Registered Participants will have access tothe SpectRUN Tent with food from Taco LocosFood Trucks, Live Music & a special show fromCasey Carle’s BubbleManiasPrizes for Participants for Most Colors Worn & Most Creative

IMPORTANT INFORMATION:

In the event of inclement weather causing unsafe condi-tions the race organizers reserve the right to cancel therace. Please go to our website the day of the race for in-formation www.KC-Autism.org/spectrum

PURPOSE:

All Proceeds from the Autism SpectRUN benefit The KennedyCenter Autism Project. The program is funded throughfundraising events, grants and donations and provides af-fordable comprehensive services to over 400 LOCAL childrenwith autism and their families. To keep up with the demandand to keep the programs at reduced rates, more dollars areneeded.

The Autism Project is most noted for their Social ActivityGroups which teach age appropriate social, communicationand behavioral skills as well as for their experienced staff;wrap-around service model; and parent trainings. By partici-pating in the Autism SpectRUN, you are making a differenceto children with autism and their families in our community.

Product & Promotional Providers

The AUTISM PROJECTCREATING MOMENTSOF MAGIC FOR LOCALCHILDREN WITH AUTISM BY PROVIDINGAFFORDABLE,COMPREHENSIVESERVICES

FOR MORE INFORMATION go to

www.TheKennedyCenterInc.org

The Autism SpectRUNis part of The Kennedy Center Autism Week.

Visit our website for ALL event details. 100% of ALL Proceeds benefit

The Autism Projectwww.KC-Autism.org

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