Macy’s Hosted by: Miracle Club of Batesville, Arkansas Macy Bryant, age 2 Macy’s Stroll and Roll for Angelman Syndrome Join the Kiwanis Club of Batesville in this benefit walk to support a cure for Angelman Syndrome! April 25, 2015 Riverside Park in Batesville, AR Walk fee: $20 due by April 11 OR $25 the day of the walk All participants will receive a t-shirt Registration starts at 9:00 am Walk to begin at 10:00 am Celebrate the end of the walk with Keller’s Bounce Houses, a petting zoo, entertainment by West Magnet Dance Team, and much more!!! Angelman Syndrome (AS) is a neurological disorder that affects 1 in 15,000 live births. It is caused by a deletion or mutation on Chromosome 15. People with AS suffer with profound developmental delays, problems with motor control and balance, life threatening seizures, lack of sleep, feeding issues, and typically do not develop functional speech. They require life-long care and intense therapies. Luckily, YOU CAN HELP! The AS research team is the fastest, result-finding medical research group currently world-wide. AS has been cured in mice, and scientists predict a cure to be merely $15-20 million away. Macy Bryant, of Batesville, was diagnosed with Angleman Syndrome at 5 months of age. She is the daughter of Josh and Ronda Bryant, and granddaughter of Ron and Martha Lewallen. Macy is 2 years old and currently receives daily therapy with Speech, Development, Occupational and Physical therapies, but wouldn’t it be a Miracle if there was a cure for her and others with AS?!? Come take a stroll or roll for Angelman Syndrome!!! Macy’s Hosted by: Miracle Club of Batesville, Arkansas Macy Bryant, age 2 Macy’s Stroll and Roll for Angelman Syndrome Join the Kiwanis Club of Batesville in this benefit walk to support a cure for Angelman Syndrome! April 25, 2015 RAIN OR SHINE Registration begins at 9:00 am near the stage at Riverside Park Walk begins at 10:00 am Pre-registration: $20 due by April 11 Registration day of the walk: $25 (Event course is approximately a mile long) Name______________________________________________________________________________________ Address____________________________________________________________________________________ Email___________________________________________ Phone Number_______________________________ T-shirt size (circle one): Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large AdultXL Adult XXL AdultXXXL RELEASE OF LIABILITY Waiver: In consideration of the acceptance of this entry I waive all claims for myself and my heirs against the sponsors, cooperating and coordinating groups and any individuals associated with this event and will hold them harmless for any and all injuries which may result from my participation. I hereby give my permission to the media to use my name and photograph in the newspaper, broadcast, telecast of this event without limitation or obligation. I certify that I am physically fit for this event and understand the risks involved by participating in this event. Signature_____________________________________________________ Date_________________________ Parent/Guardian Signature (if participant is under 18 years of age)_________________________________________________ Please make checks payable to: Kiwanis Club of Batesville “Macy’s Stroll and Roll” in the Memo Line Please return this form and payment to: Kiwanis Club of Batesville PO Box 2522 Batesville, AR 72503 OR ronda_lewallen@hotmail.com Macy’s Hosted by: Miracle Club of Batesville, Arkansas Macy Bryant, age 2 Macy’s Stroll and Roll for Angelman Syndrome Join the Kiwanis Club of Batesville in this benefit walk to support a cure for Angelman Syndrome! April 25, 2015 Batesville Riverside Park Macy Bryant, of Batesville, was diagnosed with Angelman Syndrome at 5 months of age. She is the daughter of Josh and Ronda Bryant, and granddaughter of Ron and Martha Lewallen. Macy is 2 years old and currently receives daily therapy with Speech, Development, Occupational and Physical therapies, but wouldn’t it be a Miracle if there was a cure for her and others with Angelman Syndrome?!? Angelman Syndrome (AS) is a neurological disorder that affects 1 in 15,000 live births. It is caused by a deletion or mutation on Chromosome 15. People with AS suffer with profound developmental delays, problems with motor control and balance, life threatening seizures, lack of sleep, feeding issues, and typically do not develop functional speech. They require life-long care and intense therapies. Luckily, YOU CAN HELP! The AS research team is the fastest, result-finding medical research group currently world-wide. AS has been cured in mice, and scientists predict a cure to be merely $15-20 million away. The Kiwanis Club of Batesville has partnered with Macy’s Miracle to host a benefit walk on April 25, 2015. The club is currently looking for corporate sponsors to help in this endeavor. Below are the levels of sponsorships available, but any and all contributions are appreciated. Here is your business’ opportunity to support a worthy cause and to take a stroll, or a roll, for Angelman Syndrome. _________ Angel Wing Sponsor: $250 Includes 5 walk registrations, name on event t-shirt, signage at the event, and announcement of sponsorship _________ Halo Sponsor: $100 Includes 2 walk registrations, name on event t-shirt, and announcement of sponsorship Please make checks payable to: Kiwanis Club of Batesville “Macy’s Stroll and Roll” in the Memo Line Please return this form and payment to: Kiwanis Club of Batesville PO Box 2522 Batesville, AR 72503
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