2nd Annual MdDS Friendraiser & Walk Series Texas Florida UK

COLORADO

ROCKN STROLL 2012

th

New York Australia

All fu nds will g ot resear owards ch treatm to find ent an da cure f or this rare d isorde r.

Sunday, September 23, 2012 1 PM easy 2 mile stroll

k... Stop t Wal he e

Join

Ample parking at the Walk Start Hope United Methodist Church 5101 S. Dayton St. Greenwood Village, Colorado 80111

Ro
c k!

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Friendraiser Benefits:

an ! ! b u t We D o n t W

$25 Individual Donation: 1 complimentary t-shirt* $50 Team Donation - Friends & Families
Unlimited group size - receive 2 free t-shirts*

tT o

$150 Event Sponsor - now youre Rockn! See your name

or logo on our t-shirts by becoming an Event Sponsor.

Please accept my donation of $___.

REGISTER ONLINE TODAY: www.walk4mdds.eventsbot.com
Were looking for Event Sponsors. Contact us if youd like to see Your Logo Here. mddswalk@yahoo.com

FRIENDRAISER FORM Help us to raise awareness & funds to find a treatment for this rare disorder. This form enables you or your friends to sponsor a walker or to simply make a charitable donation. School groups may earn Community Service Hours.
Sponsor / Donation $ Sponsor / Donation $

Sponsor / Donation $

Please make checks payable to MdDS Balance Disorder Foundation or donate online at bit.ly/FriendraiserClicknAct

Registration Form: please make check payable to MdDS Balance Disorder Foundation
Name _____________________________________________________ Email ______________________________________ Address ___________________________________________________ City/Zip _____________________________________
Waiver I hereby waive and release any and all rights and claims or damages I may accrue against the Denver Rockn Stroll, the Hope United Methodist Church, and any and all organizations, sponsors, and/or individuals connected with this event. I grant full permission for organizers to use photographs taken of me at the event for communication and educational purposes.

Signed: _________________________________________________ Date: ____________

All donations benefit the MdDS Balance Disorder Foundation, a 501(c) (3) nonprofit foundation, and are fully tax deductible.

Questions about the Walk? Contact mddswalk@yahoo.com

Cant Walk with Us? CyberWalk with Us! You can join the walk to Stop the Rock by walking where ever you are on September 23. Send us a photo of you and your friends wearing your FREE t-shirts* and well share your photos around the world! Instructions are on the
online registration site.

Sponsor / Donation $

Use reverse side to list additional sponsors. *Available at the walk only, while supplies last.

If you are under 18 years old, your parent or legal guardian must sign this waiver on your behalf.

www.mddsfoundation.org