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2016 ABIN-PA Boo-tiful Brains Brochure

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2016 ABIN-PA Boo-tiful Brains Brochure

  1. 1. ACQUIRED BRAIN INJURY NETWORK OF PENNSYLVANIA InfoLine: 215.699.2139 Toll-Free: 1.800.516.8052 info@abin-pa.org, www.abin-pa.org …..dedicated to increasing public awareness about acquired brain injury and to providing support, education, information, advocacy and other services for individuals with acquired brain injury and their families.  InfoLine: Support, Resources. Problem-solving. 478 calls in 2014.  Advocacy: Individual. Government Affairs. Also thru our Nonprofit Coalitions & Collaboratives.  Support Group: 4th Mondays at Mercy Suburban Hospital on DeKalb near Germantown Pike, Norristown.  Education: Conferences. Presentations. Staff Training.  Literature: Free Monthly Newsletter to 1,350. Booklets and 37 Brochures.  Website: Newsletter Archives & Sign-Up. “Our Stories.” Print Literature, Resource List by Your Birthdate. Rehab Facility & Support Group Searches. Videos. Empowering Survivors & Families to rebuild their lives since 2007. ABIN-PA is a 501(c)(3) Pennsylvania nonprofit corporation. Contributions are tax deductible. The official registration and financial information of the Acquired Brain Injury Network of Pennsylvania, Inc., may be obtained from the Pennsylvania Department of State by calling toll free, within Pennsylvania, 1 (800) 732.0999. Registration does not imply endorsement. AcquiredBrainInjury NetworkofPA 2275GlenviewDrive LansdalePA19446 Acquired Brain Injury Network's Second Annual 2016 BOO-TIFUL BRAINS HALLOWEEN 5K TIMED RUN/WALK & 1 MILE FUN RUN/WALK Saturday, October 29 10:00 AM START NORRISTOWN FARM PARK 2500 Upper Farm Road East Norriton PA 19403 Costumes encouraged for all! T-Shirts - Raffles Awards - Refreshments 5K Timing - Pretzel City Sports Acquired Brain Injury Network InfoLine: 215.699.2139 Toll-Free: 1.800.516.8052 info@abin-pa.org, www.abin-pa.org NONPROFITORG USPOSTAGEPAID LANSDALEPA PERMITNO.613 ADDRESSSERVICEREQUESTED
  2. 2. ABIN-PA BOO-tiful BRAINS Halloween 5K Timed Run/Walk & 1 Mile Fun Run/Walk October 29th, 2016 Norristown Farm Park 2500 Upper Farm Road East Norriton PA 19403 610.270.0215 www.montcopa.org/norristownfarmpark RAIN OR SHINE: No refunds if cancelled for unsafe conditions. Schedule: 9:00 am Check-in & race day sign-up at the Pavilion near Parking Lot #2 10:00 am 5K Timed Run/Walk Starts 10:40 am 1 Mile Fun Run/Walk Starts 11:00 am Awards and Raffles at the Pavilion near Parking Lot #2 Start & Finish Intersecting road and trail opposite the Pavilion near Parking Lot #2. 5K Run/Walk Age Groups (Male & Female) 17 and under 18-29 30-39, 40-49 50-59, 60-69, 70+ Registration Use credit card online at www.pretzelcitysports.com or mail check with form. Received by October 7th - $20 (for guaranteed T-shirt) Received thru October 26 - $25 Paid October 27 to Race Day - $30 T-Shirts Guaranteed for Early Registrations received by October 7th. Sponsorship Forms Raise donations from your sponsors as an Individual or as a Team. Print from www.abin-pa.org or call 267-263-2651. Mail form and checks to ABIN-PA, 2275 Glenview Drive, Lansdale PA 19446 by October 21, 2016. Awards  5K Timed Run/Walk - Male & Female Certificates & Ribbons for 1st, 2nd & 3rd Place by Age Groups & Overall  Fundraisers - Certificates for Highest Donations Collected by Best Individual & Best Team. Raffles General Raffle - Free Ticket for Each Participant. Special Raffle Tickets - Available for Sale to Those Present at Event. MUST BE PRESENT TO WIN. RegisterbyMailorOnline SponsorshipForms:Printfromwww.abin-pa.org.ReturnbyOctober21toqualifyforfundraisingawards. OnlineRegistration:gotowww.pretzelcitysports.comthruWednesday,October26. Mail-inRegistration:Oneformforeachperson.MakecheckpayabletoABIN-PA&mailto:ABIN-PA,2275Glenview Drive,LansdalePA19446.ForguaranteedT-shirt,EarlyRegistrationmustbereceivedbyOctober7th. SELECTADULTSIZE:S__M__L__XL__XXL__.SELECTEVENT:5KTimedRun/Walk__or1MileFunRun/Walk__. SELECTAMOUNT:EarlyRegistrationbyOct.7$20___Oct.8-26$25___Oct.27-29$30___.Check#_________. NAME_______________________________ADDRESS______________________________Ageon10/29___ CITY________________________STATE___ZIP_______PHONE_____________________Birthdate________ EMAIL___________________________________Male___Female___TeamName?____________________ Waiver/Release:IherebywaiveallclaimsagainstABIN-PA,theracedirector,raceofficialsandvolunteers,anyandallsponsors,NorristownFarmPark,EastNorriton TownshipandMontgomeryCountyandthoseintheiremploy,andalltheirrepresentativesandsuccessorsfromanyinjuryorliabilityImightsufferinthisevent.Iattest thatIamphysicallyfitandpreparedforthisevent.Iassumeallrisksassociatedwithrunning,walking,volunteering,attendingorparticipatinginthiseventincluding,but notlimitedto:falls,contactwithotherparticipants;theeffectsoftheweather;andtheconditionsofthetrailorroad;allsuchrisksbeingknownandappreciatedbyme.I grantfullpermissionfororganizerstousemynameand/orpicturesinanyandalllegitimateaccountsandpromotionsofthisevent. SignatureX__________________________________(Parent/guardianifunder18yearsold.)Date_______

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