Dressinyour festivebest Jingle 7th Annual 5/2.5K (Santa suit, antlers, etc.) to support the YMCA Strong Kids Campaign! All participants receive a Santa Hat, Jingle Bell & are eligible for Door Prizes Pre-register by Monday November 24th to win Individual & Family YMCA Memberships Day of Registration begins @ 9:00 am Run/Walk Begins @ 10:00 am Refreshments & Draw for Door Prizes for All Participants Afterward By taking part in the Jingle Fun Run/Walk, you are helping our children stay active, fit and healthy, building positive habits to last a lifetime. As a charity, the YMCA strengthens our community, helping our youth grow in spirit, mind and body so that they can reach their full potential. Whether through health, fitness or recreation programs, the YMCA is responsive to the needs of children, youth and families in our community. Your donation ensures that we can continue to provide the values-based programs and services that enable a child to be all that he or she can be. Fun Run/Walk for Stratford-Perth Family YMCA 204 Downie Street, Stratford, ON N5A 1X4 519-271-0480 www.stratfordperthymca.com Sunday, November 30, 2014 Stratford-Perth Family YMCA 204 Downie St., Stratford 3 There are easy ways to participate! 1 Pay A Registration Fee Thank you to our 2014 Sponsors: Gold: Adults: (20 yrs & up) $25 Teens: (13 to 19 yrs) $15 Kids: (12 yrs & under) $10 Silver: Everyone pre-registering by Monday, November 24th is eligible to win Individual & Family YMCA Memberships. 2 Collect Pledges For the YMCA Strong Kids Campaign Each person who raises $50 or more in pledges will pay no registration fee and become eligible to win draw prizes! Use the pledge form on this brochure. Tax receipts will be issued for donations over $20. Bring the form and pledges with you on the day of the run/walk and hand them in when you check-in. The more you collect, the more kids & families can become involved in Y programs! Thank you to our 2013 Prize & Refreshment Donors: 3 Participate as a Team Have even more fun participating as a team with family, friends, work associates or your school team. Teams of 3 or more will be eligible for special team prizes. All forms for each team member are to be submitted together at the same time. All teams must register by November 24th to be eligible for the team awards. Everyone pre-registering by Monday, November 24th is eligible to win Individual & Family YMCA Memberships. Individual Prize Categories: Team Prize Categories: Top Fundraiser Best Child Costume Best Teen Costume Best Adult Costume Best Costumes Best Corporate Best Fundraising Bentley’s Inn, Bar & Restaurant, Boston Pizza, Canadian Tire, Chocolate Barr’s Candies Inc., Crossfit Stratford, Dave’s Diner, Demetre’s Family Eatery, Downie Street Bake House, EB Games, Edward Jones – Shawn Malvern, Family & Company, Fanfare Books, Food Basics, Foodland, Fritz Financial Planning Ltd., Gene’s Restaurant, Grotto Hair Studio, Jenn & Larry’s Brittle ‘n Shakes & Ice Cream Cakes, Libro Financial, Mark’s Work Wearhouse, McDonalds, Ontario St., McLeod’s Scottish Shop, MyNextRace.com, No Frills, Nudge, Nudge Fudge Inc., On Stage Dance Studio, Physio on Front, RBC Financial Group, Runners’ Wall Running Apparel, Scentsy, Schellenberg Lynn, Scotiabank, Signs Ontario, Sirkel Foods, Small-Mart General Mercantile, Sobeys, Stratford Shakespeare Festival, Stratford Toyota, Swiss Chalet, Tanners Sun Salon, The (Cullitons) Stratford Hockey Club Inc., The Co-operators, The Gentle Rain, The Nutty Bakers, Tim Horton’s, Tupperware, Twice The Deal Pizza, Village Studios Our 2014 Volunteer Organizing Committee: Maria Savelle (Chair), Doug Drake, Grant Densted, Leanne Herbert-Malvern, Lynn Schellenberg, Paul Stewart, Joanne Trottier & Hans Willms 7th Annual 5/2.5K Jingle Fun Run/Walk for YMCA Strong Kids Jingle 7th Annual 5/2.5K Fun Run/Walk for Registration Form Last Name : First Name: Address: City: Province: Postal Code: Date of Birth: Age: Sex: Phone: Email: Check the Following: ❏ 5K ❏ 2.5K ❏ Team ❏ Individual Team Name (Team registrations to be submitted together by November 24th): How to Register: In Person: at the YMCA Membership Services Desk By Mail: Attn: Jingle Fun Run/Walk Stratford-Perth Family YMCA 204 Downie Street, Stratford ON N5A 1X4 By Phone: (519) 271-0480 with your VISA or Mastercard Everyone pre-registering by Monday, November 24th is eligible to win Individual or Family YMCA Memberships. After this date participants are welcome to register the day of the event. Have you Collected Pledges? ❏ Yes ❏ No Total: $ Please hand in pledge money on the day of the Run/Walk when you check-in. ❏ Release Waiver & Indemnity: In consideration of your acceptance of my entry, I hereby on behalf of myself, my heirs, executors and assigns, waive and release all rights and claims for damages that I might have against the City of Stratford, the YMCA of Stratford-Perth, the event organizers, the event sponsors, and their respective agents and representatives as a result of my participation in this event. By submitting this, I acknowledge having read and understood, and agreed to the above waiver, release and indemnification. ❏ Photo Release: I hereby authorize the YMCA to use any and all pictures taken throughout the event for use by the YMCA in internal and external YMCA promotional materials including websites and electronic media. Privacy Policy: When you supply us with your contact information, you may hear from us about this, and/or other YMCA programs, services and initiatives that may interest and/or benefit you. If you do not wish to hear about other YMCA programs, services or opportunities, please contact 519-271-0480, or e-mail keith_courtney@ymca.ca. This data may de used to satisfy legal, government and regulatory obligations. Date: Print Name: Signature: If under 18 years of age, parent or guardian to sign: Date: Signature: Print Name: YMCA of Stratford Perth 204 Downie Street, Stratford N5A 1X4 519-271-0480 www.stratfordperthymca.com 7th Annual 5/2.5K Jingle Fun Run/Walk for YMCA Strong Kids Pledge Form / November 30, 2014 Participant Name: Address: Phone Number: Sponsor Name Email: Street / City / Province / Postal Code Phone / Email Address Pledge Amount All pledges from sponsors go to the Stratford-Perth YMCA Strong Kids Campaign to assist children, youth and families in our community. Receipts will be issued for all donations over $20.00. Please make all cheques payable to YMCA of Stratford-Perth.
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