Registration 2012 LINKS Pink Walk
Transcription
Registration 2012 LINKS Pink Walk
PAID Jamestown, NY Permit No. 601 Non-Profit Org. US Postage As a committed group of dedicated corporate citizens and volunteers, LINKS Charity is committed to enhancing the quality of cancer diagnosis, treatment, and care in our community through our community hospital - WCA Hospital. WAIVER & RELEASE LIABILITY I hereby waive all claims against the Woman’s Christian Association Hospital (WCA Hospital), LINKS Charity, the Chautauqua Mall, Simon Property Group, the 2012 LINKS Pink Walk, event sponsors, and all organizers/volunteers for any injury I might suffer in this event. I attest that I am physically fit and prepared for this event. I grant full permission for organizers to use photography of me in legitimate accounts and promotion of this event. Signature: _______________________ THANK YOU Truck-Lite, Cummins, ALSTAR EMS, United Refining, Jamestown Savings Bank, Veracity Benefits, and Bilicki Law Firm! The mission of WCA Hospital is to improve the health and well being of the people of Chautauqua County and the surrounding area with compassion, dedication, and a commitment to quality, while maintaining economic viability and a vision for the 21st century. WCA Office of Development PO Box 840, 207 Foote Avenue Jamestown, NY 14702-0840 (716) 664-8423 development@wcahospital.org www.wcahospital.org WCA Office of Development PO Box 840, 207 Foote Avenue Jamestown, NY 14702-0840 LINKS Charity and WCA Hospital are partnering with the Chautauqua Mall in a grassroots effort to encourage our community to embrace the fight against breast cancer, pay tribute to those who are battling breast cancer, and to promote good breast health throughout the month of October – Breast Cancer Awareness Month. In addition to hosting the 2012 LINKS Pink Walk, the Chautauqua Mall and its stores will be undertaking a series of pink-themed promotions and initiatives which raise awareness and support for local breast cancer care at WCA Hospital. Presented by Saturday, October 6, 2012 Chautauqua Mall 318 E. Fairmount Ave., Lakewood, NY Pre-Registration Form 2012 LINKS Pink Walk Presented by Jamestown Radiologists & Whisper’s Boutique at Patient’s Pharmacy In 2011, in honor of its 20th anniversary, LINKS Charity introduced the inaugural LINKS Pink Walk and solidified its commitment to enhancing local cancer care. In 2012, LINKS Charity embarked on a new $300,000 pledge toward the purchase of 3-D Breast Tomosynthesis. This technology will allow the professionals at WCA Hospital to better diagnose and treat breast cancer in our community. It’s all about going PINK! As a walker, you are encouraged to be creative and wear as much pink as possible! There are several ways you can support the LINKS Pink Walk, including: ♦ Participate as a Walker - securing as many pledges as possible to support your efforts ♦ Organize a Team to walk together (challenge friends, co-workers and creatively outfit yourselves in PINK) ♦ Sponsor a Walker - make a generous pledge ♦ Serve as an Event Sponsor ♦ Purchase “Tribute Link” In Honor of or In Memory of a loved one that will be used to build our LINKS Tribute Chain ♦ Make a gift-in-kind donation for the Basket Auction at the Walk ♦ Make an outright tax-deductible gift to: LINKS Charity Our goal this year is to raise $30,000 toward the purchase of 3-D Breast Tomosynthesis in the WCA Center for Imaging & Medical Arts (Jamestown, New York). WEAR PINK! The 2012 LINKS Pink Walk will feature: ♦ Commemorative Event T-Shirt (included in $10 Registration Fee) ♦ Picnic Lunch for all walkers & volunteers following walk ♦ Building of the LINKS Tribute Chain for walk ♦ Breast Cancer Education & Awareness ♦ Live Music, Basket Raffles & 50/50 ♦ Most Creative Pink Outfit Contest ♦ The Balloon Man, Games & Face Painting ♦ Pink Nails, Pink Feathers & Pink Extensions Register to Walk ($10 per person), Join a Team, or Sponsor a Walker at: Pre-Registration Form Saturday, October 6th CHAUTAUQUA MALL 318 E. Fairmount Ave., Lakewood, NY Registration begins at 10:00 a.m. Tribute to Breast Cancer Survivors 10:45 a.m. Walk begins at 11:00 a.m. Picnic Lunch & Activities to follow Walk Prizes awarded to 1st - 3rd place walkers for total donations collected Name: ___________________________ Address: __________________________ _________________________________ Phone: ___________________________ FirstGiving.com/ wca/2012-Links-Pink-Walk E-mail: ___________________________ Please mail this completed form along with $10 (check payable to: LINKS Charity) to: WCA Office of Development PO Box 840, Jamestown, NY 14702-0840 Follow link through: Questions? wcahospital.org or linkscharity.com (716) 664-8423 development@wcahospital.org ___ Please mail me a Pledge Sheet