Leukemia Walk and Dog Parade over the Hudson

SATURDAY, APRIL 14, 2012
9am - 1pm
9:00 am                Meet 9 am at the Highland Entrance of the Walkway Over the Hudson, 87 Haviland Road, Highland, NY.
9:00 amZumba Warm-Up or just watch/Souvenir & Snack for those who pre-registered.
9 -10:00 am     Check-in and same day registrations at the Highland or Poughkeepsie Walkway Entrance
10:30 amWalk begins @ Highland Entrance, 87 Haviland Road, Highland NY
11:30 amLanterns released in honor of those list to or suffering from blood cancers (midway).
 NoonDog Contest - Prizes & Music provided by Cumulus Radio on the Highland side.

PRE-REGISTRATION:  $20 online includes Walk, Dog Entry & Souvenir
 
LATE-REGISTRATION:  $25 day of event,  9-10am at either entrance of the Walkway. Walk to begin at 10:30am at Highland Entrance.
 
CHECK-IN: 9-10am at Highland or Poughkeepsie Walkway Entrance.  Come early for beverage and souvenir for all registrants. Watch or participate in a Zumba warm-up with Sharon Brooks!
 
WALK BEGINS: 10:30am at Highland Entrance of the ‘Walkway over the Hudson’ to Poughkeepsie side and back. Midway lanterns will be released in honor of those we are walking for & Musician Group.  Radio coverage, music and some dog prizes will be awarded at end.

EVENT SPONSORSHIP OPPORTUNITIES: Sponsors will be advertised with both signage and radio coverage on day of the event.  No frills, but the thousands who walk the bridge that day will know you care & the 912,000 Americans suffering from Leukemia will have a better quality of life because of you!

Level 1/Save-a-Life $500
Your Business Banner on Walkway railing in view of Route 9 & Radio acknowledgement
Level 2/Golden Hero $250
Your Business Poster @ the Walkway/Radio Acknowledgement
Level 3/Reach for a Hand $100
Business Flyer posted @ Walkway
Level 4/Show You Care $50
Your business card mounted with others on easel display
Level 5/Everyone’s Donation Counts $25 
Your Business Name listed with others on easel display

If you cannot attend the walk, please consider sending your donation online below or by check to: 

Leukemia Walk and Dog Parade
Community Foundations of the Hudson Valley
80 Washington Street, Suite 201
Poughkeepsie, NY 12601

QUESTIONS OR MORE INFORMATION:
Dr. Mordock, Event Coordinator 845-527-8998 or email Melody at melody.mordock@gmail.com or visit: http://wch.mwoy.llsevent.org/melodymordock 
 
*100% of net proceeds go to the Leukemia Lymphoma Society for research/treatment/direct care services. So if you’re debating whether to register, go ahead anyway! Your tax deductible registration will go to the cause even if you find your schedule won’t permit attending!
 
DIRECTIONS TO THE WALKWAY OVER THE HUDSON
87 Haviland Road | Highland, NY 12528
Take Route 9W heading NORTH from Newburth or Beacon, Turn RIGHT onto Haviland Road. The Walkway Entrance is on the LEFT

Liability Waiver - please check the boxes below for each registrant
I agree to abide by any decision of a race official relative to my ability to safely participate in this event. I assume all risks associated with this event including, but not limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and understood by me. Having read this waiver and knowing these acts and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release the organizers of the Leukemia & Lymphoma Society, the Community Foundations of the Hudson Valley, Walkway Over The Hudson, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event or carelessness on the part of the persons named in this waiver. I grant permission to all of the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for legitimate purposes. Further, I affirm that I am healthy enough to participate in the walk and understand that any issues regarding such participation should be discussed with my personal physician.
 
With your tax deductable donation, LLS can continue funding critical research in the fight against blood cancers as well as provide information, treatments and outstanding patient services. The Leukemia & Lymphoma Society (LLS) is a nonprofit\ and world’s largest voluntary health organization dedicated to funding blood cancer research and providing education and patient services. We are the leading resource for patients diagnosed with leukemia, lymphoma, myeloma, Hodgkin’s disease and for their family members and caregivers.

Leukemia is cancer of the blood cells. Our research is dedicated to catch/treat/cure and provide better treatment, before it spreads. The Leukemia & Lymphoma Society (LLS) was founded in1949 when a blood cancer diagnosis was almost certainly fatal. Thanks in part to innovative research funded by LLS, survival rates have doubled, tripled and even quadrupled for blood cancer patients. New hope to find a cure for blood cancers has never been greater. Right now is the most important time in the history of blood cancer research as “Smart Drugs”, among other advanced therapies, emerge as new treatment solutions.  

                     

Please make your selection below. Be sure to fill out the registration information below for each walker you are registering.
$20.00   One Registration
$40.00   Two Registrations
$60.00   Three Registrations
$80.00   Four Registrations
$500.00   Level 1/Save-a-Life Sponsor
$250.00   Level 2/Golden Hero Sponsor
$100.00   Level 3/Reach for a Hand Sponsor
$50.00   Level 4/Show You Care Sponsor
$25.00   Level 5/Business Name Listing
For a combo of the above, ie, registration & sponsor or to add a donation, total the amount here and indicate details below.  $ 

* Denotes required field.
Address & Optional Fields
Name:*
Street:*
City:*
State/Province:*     Postal Code:*
Country:*
Phone:*
Email Address:*

Organization
Combination Purchase Details
Participant 1 Registration Information
Participant Name
Participant Address
Street:
 
City:
     Zip:
Phone Number
Email Address
By Checking here, you certify that you have read the Liability Waiver.
If only registering yourself or one walker, please scroll to the bottom of the page and hit submit.
Participant 2 Registration Information
Participant Name
Participant Address
Street:
 
City:
     Zip:
Phone
Email Address
By Checking here, you certify that you have read the Liability Waiver.
Participant 3 Registration Information
Participant Name
Participant Address
Street:
 
City:
     Zip:
Phone
Email Address
By Checking here, you certify that you have read the Liability Waiver.
Participant 4 Registration Information
Participant Name
Participant Address
Street:
 
City:
     Zip:
Phone
Email Address
By Checking here, you certify that you have read the Liability Waiver.
DISCLAIMER: Domestic Transaction Fees for payments received within the United States will be approximately 3%.
By clicking Submit you have authorized the Foundation to process your gift. For your protection, all transactions are processed through our VeriSign secure site.
Contact Dutchess & Putnam at 845-452-3077 | Contact Ulster at 845-338-2535