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8/8/2019 Walk-Run 4 Life Brochure
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Chautauqua Park Beloit, Kansas
SundaySeptember 26, 2010
6th & Independence • P.O. Box 96Beloit, Kansas 67420785-738-3433 • [email protected]
www.heartchoicesbeloit.com
“Childrenare a gift
from God.”
P S A L M S 1 2 7 : 3
• ½ Mile KIDS RUN• 1 Mile WALK
• 5K RUN• 4 Mile BIKE RACE
(14 and older)• 16 Mile BIKE RACE(14 and older)
8/8/2019 Walk-Run 4 Life Brochure
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C h a u t a u q u a P a r k B e l o i t , K a n s a s S u n d a y S e p t e m b e r 2 6 , 2 0 1 0
Non-prof O
U.S. POStag
PaidPrm No. 9
6th & Independence • P.O. Box 96Beloit, Kansas 67420785-738-3433 • [email protected].
H e a r t C h o i c e s ( H e a r t b e a t P r e g n a n c y C e n t e r , I n c . ) i s a C h r i s t - c e n t e r e d f a c i l i t y w h i c h p r o v i d e s c o u n s e l i n g
n d s u p p o r t s e r v i c e s t o w o m e n a n d m e n e x p e r i e n c i n g
n i n t e n d e d p r e g n a n c i e s , h e l p i n g t h e m t o c o m e t o a b e t t e r
n d e r s t a n d i n g o f t h e i r o p t i o n s a n d t h e c o n s e q u e n c e s o f
h e i r c h o i c e s . Y o u r p a r t i c i p a t i o n i n t h i s f u n d r a i s i n g r a c e
n a b l e s u s t o o f f e r H O P E t o t h e s e i n d i v i d u a l s b y p r o v i d i n g
h e f o l l o w i n g s e r v i c e s :
P r e g n a n c y T e s t s
O p t i o n s C o u n s e l i n g
P r e g n a n c y a n d P a r e n t i n g E d u c a t i o n
A b s t i n e n c e E d u c a t i o n A d o p t i o n I n f o r m a t i o n
M a t e r n i t y a n d B a b y I t e m s
R e f e r r a l s t o O u t s i d e A g e n c i e s
P o s t A b o r t i o n C o u n s e l i n g a n d S u p p o r t
“ S e v e n M y t h s o f S e x u a l i t y ” P r e s e n t a t i o n s t o
a r e a J u n i o r a n d S e n i o r H i g h s c h o o l s
A l l s e r v i c e s a r e f r e e a n d c o n d e n t i a l
T H A N K Y O U F O R Y O U R S U P P O R T !
Return service req
“ C h i l d r e n a r e a g i f t f r o m G o d . ”
P S A L M S 1 2 7 : 3
PLEASE REGISTERby September 17, 2010
to receive a free t-shirt
You can now
REGISTER ONLINE AT
www.heartchoicesbeloit.com
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SPONSORS
___________________________________________________________
NAME
___________________________________________________________
ADDRESS CITY / STATE / ZIP
___________________________________________________________
HOME PHONE / CELL PHONE
___________________________________________________________
PLEDGE AMOUNT n $25 n $50 n $100 n OTHER $______
n BILL ME n PAID nCK#_________ nCASH _________
___________________________________________________________
NAME
___________________________________________________________
ADDRESS CITY / STATE / ZIP
___________________________________________________________
HOME PHONE / CELL PHONE
___________________________________________________________
PLEDGE AMOUNT n $25 n $50 n $100 n OTHER $______
n BILL ME n PAID nCK#_________ nCASH _________
___________________________________________________________
NAME
___________________________________________________________
ADDRESS CITY / STATE / ZIP
___________________________________________________________
HOME PHONE / CELL PHONE
___________________________________________________________
PLEDGE AMOUNT n $25 n $50 n $100 n OTHER $______
n BILL ME n PAID nCK#_________ nCASH _________
___________________________________________________________
NAME
___________________________________________________________
ADDRESS CITY / STATE / ZIP
___________________________________________________________
HOME PHONE / CELL PHONE
___________________________________________________________
PLEDGE AMOUNT n $25 n $50 n $100 n OTHER $______
n BILL ME n PAID nCK#_________ nCASH _________
___________________________________________________________
NAME
___________________________________________________________
ADDRESS CITY / STATE / ZIP
___________________________________________________________
HOME PHONE / CELL PHONE
___________________________________________________________
PLEDGE AMOUNT n $25 n $50 n $100 n OTHER $______
n BILL ME n PAID nCK#_________ nCASH _________
___________________________________________________________
NAME
___________________________________________________________
ADDRESS CITY / STATE / ZIP
___________________________________________________________
HOME PHONE / CELL PHONE
___________________________________________________________
PLEDGE AMOUNT n $25 n $50 n $100 n OTHER $______
n BILL ME n PAID nCK#_________ nCASH _________
___________________________________________________________
NAME
___________________________________________________________
ADDRESS CITY / STATE / ZIP
___________________________________________________________
HOME PHONE / CELL PHONE
___________________________________________________________
PLEDGE AMOUNT n $25 n $50 n $100 n OTHER $______
n BILL ME n PAID nCK#_________ nCASH _________
___________________________________________________________
NAME
___________________________________________________________
ADDRESS CITY / STATE / ZIP
___________________________________________________________
HOME PHONE / CELL PHONE
___________________________________________________________
PLEDGE AMOUNT n $25 n $50 n $100 n OTHER $______
n BILL ME n PAID nCK#_________ nCASH _________
PARTICIPANTPlease check one n CHILD (12 AND UNDER) n TEEN (13-18) n ADULT
_______________________________________________________________________________________________NAME ADDRESS
_______________________________________________________________________________________________CITY / STATE / ZIP
_______________________________________________________________________________________________TEAM NAME TEAM CAPTAIN
Heart Choices is a 501(c)3 Non-Proft organization. All contributions are tax deductible.
Amount turned in with this form. $____________ Amount to be billed. $____________
ARE YOU “ONLINE”? DO YOU EMAIL, FACEBOOK, OR TWITTER? If so, go to our website www.heartchoicesbeloit.com
to register as a participant. Simply enter your basic information, then you have the option to upload your information to your own personal Walk-Run 4 Life website.You can even upload your own picture and a personalized message of why you choose to sup-
port Heart Choices. You may then email or share the link to your website with your entire address book, giving all your friends and
family the option to sponsor you with an online donation! The possibilities are limitless! It’s easy and fun – you don’t even have to
go door to door! If you have questions, contact us at 785-738-3433 and we’ll help you through it.
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________________________________________________________________NAME
________________________________________________________________ADDRESS
________________________________________________________________CITY / STATE / ZIP
________________________________________________________________HOME PHONE / CELL PHONE
________________________________________________________________E-MAIL
________________________________________________________________CHURCH/ORGANIZATION
____________________ n MALE n FEMALEAGE
T-SHIRT SIZE
YOUTH: n SM n MED n LARGE n XL
ADULT: n SM n MED n LARGE n XL n XXL n Other ______
Pre-register by September 17, 2010 to guarantee a free t-shirt. Mail or drop off registration and $20 entry fee to HeartChoices. You can also bring the completed form with youhe day of the event or register on the day of the event.
For more information, call 785-738-3433 or e-mail questionso [email protected]. Don’t forget, you can register online
at www.heartchoicesbeloit.com and set up your own per-
onal webpage for collecting pledges and donations.
PLEASE PRINT CLEARLY
Please check the category in which you will participate
n 5K RUN n 1 Mile WALK n .5 Mile KIDS RU
n 4 Mile BIKE RACE (14 and older)
n 16 Mile BIKE RACE (14 and older)
ALL BIKE RACERS ARE REQUIRED TO WEAR HELMETS.
Fill out i participating on a team.
_________________________________________________________________
TEAM CAPTAIN
_________________________________________________________________
TEAM NAME
n I hereby waive and release any and all rights and claimsagainst the event organizers, sponsors, and Heart Choices, for any injuries or health problems suffered by me in connectionwith this event. I further certify that I am in good enough physical condition to participate in this event.
Parent or guardian signature required i under 18.
_________________________________________________________________
SIGNATURE DATE
_________________________________________________________________
PARENT OR GUARDIAN DATE
Q. Where will the events take place?
Registration will begin at 2:15 PM in front of the white building atChautauqua Park, South Hersey St, Beloit. The Kid’s races will berun inside the park. The 5K run and 4 mile bike race route will gosouth on Hwy 14 with a mid-way turn around, ending at the park.The walk route will travel north on Hersey Street to Main street,stopping at the Courthouse for prayer, then continuing west to MillStreet, turning South to return to the park. The 16 mile bike raceroute will go south on Hwy 14 to Tipton blacktop, turn on 250Rd/W. Main Street and complete a loop back to Chautauqua Park.
Q. Will there be prizes?
Medals will be awarded to the top three competitors in the individualage categories for the 5K, Kid’s Run, and the Bike Race.There will be prizes awarded to the TEAM who collects the most moneyand pledges (each team member will receive a gift).Prizes to the top INDIVIDUAL collectors will be:
•Child (12 and under) - New Child’s bicycle• Teen (13-18) - $50 Visa Gift Card• Adult (19 and over) - $50 Visa Gift Card
Each registered participant will be entered into a drawing for doorprizes donated by area businesses.
Q. Can high school athletes compete?
It is NOT permissible under the KSHSAA rules for a cross country ath-lete to participate in the 5K run that is a fundraiser for Heart Choiceson Sept. 26th if they are part of a school team that is currently involved
with its cross country season. It is permissible for them to participate they have nished their regular season before Sept. 26th AND they arnot going on to regionals or state competition. Track athletes will NOTbe affected since this is a fall activity.
Q. How can I participate?
You may participate individually, or as a part of a team (maximumteam size - 10 people). You also have the option of paying only the$20 registration fee, OR collecting pledges for Heart Choices. Anyone who registers by September 17 and pays the $20 registration fee or collects pledges amounting to $20 or more will receive a FREE
T-SHIRT. It is not necessary to walk, run, or bike to register.
2:15 pm - Registration
2:30 pm - 16 Mile Bike Race Start
3:00 pm - ½ Mile Kid’s Run Start
3:30 pm - 1 Mile Walk Start
3:35 pm - 5K Run Start
3:45 pm - 4 Mile Bike Race Start
All Times Approximate - May be adjusted slightly
At the end o all races, a meal will be provided orall participants.
During the meal, door prizes will be drawn. The awardsceremony will begin once all times and places are determined
✁Please cut out and return this orm
