IN US AT EDGEWATER PARK ON PTEMBER 22!

P #1: MAKE THE COMMITMENT TO PARTICIPATE -tandard Registration: Participate individually-this form is all you need—or form a team of 10 or more. Call (440) 735VALK to request a team packet.

Online Registration: Register individually, join a team or start our own team online at www.cleveland.com/AIDSwalk.

P #2: COLLECT PLEDGES

Standard Registration: Make a donation yourself or ask friends

o sponsor you by contributing pledges. Keep track of sponsors on the attached Registration Form. Collect pledge money now so ou can turn it in on Sept. 22!

Online Registration: You'll get the chance to create your own vebpage and email requests for pledges. We'll automatically notify you when someone makes a pledge on your behalf and each day you can check the status of your online donations. There also a section to input and keep track of your offline donations.

All participants are encouraged to raise at least $100 to receive 2002 AIDS Walk/Run T-Shirt.

EP #3: REGISTER OR CHECK IN AT THE EVENT, SEPT. FROM 9:00-11:30 A.M.

Standard Registration: Bring this completed registration form and your total donation with you on September 22 and register from 9-11:30 a.m. Convert all cash donations to one check or money order, and have sponsors make checks payable to Cleveland AIDS Walk/Run. Enter the total you will be turning in on September 22 on your registration form prior to registering. Team members must complete a registration form and register separately, to be eligible for Pledge Perks and prizes.

Online Registration: If you've registered online, go to "My HQ" on your webpage and click on "Check Reports." Print out the "Donation Report" and bring it with you to Online Registrant Checkin on September 22. You must check-in between 9–11:30 a.m. with this printout to be eligible to receive your Pledging Perks! Bring any donations received off-line with you as well. Convert all offline cash donations to one check or money order, and have sponsors make checks payable to Cleveland AIDS Walk/Run.

THE 12th ANNUAL DR. JOHN CAREY MEMORIAL AIDS WALK/RUN

REGISTRATION FORM

Bring this completed Registration Form and your total contribution to the Registration Tent on Septemer 22. Registration will be held from 9 to 11:30 A.M. or register online at www.cleveland.com/AIDSwalk.

YES, I will be participating in (check one); 5K Walk Per or required to tum

5K Run

of $15 at registration to participate. To be eligible for pledging perks and prizes, money must be turned in by September 22

ALL PARTICIPANTS MUST COMPLETE THIS SECTION

TEAM INFORMATION (if applicable)

Yes. I am participating as part of an official Team leam Name⚫

Team Captain⚫

Nome

Address

City

State

Phone

ZIP f mail

Age

Date of Birth

Gender⚫

Male

Female Required for runners only

ex

1

2

3

4

6.

I am unable to participate. Please accept my donation, enclosed. Pas

If participating as part of an official team, the above Team Information must be completed for your team to receive credit.

de panyable to CIEVELAND AIDS WALK RUN, may be mailed to: PO Box 46 1057, Cleveland, OH 44146-7017.

SPONSOR'S NAME

8

9.

10.

11

EP #4: WALK OR RUN (RAIN OR SHINE) The Walk begins 1:30 AM and the Run begins immediately afterward.

12

EP #5: RELAX AND ENJOY! Musical entertainment and free

13.

eshments for all registered participants—or pack a picnic to Dy at the park afterward.

14

SPONSOR'S FULL ADDRESS (PLEASE INCLUDE ZIP)

PLEDGE AMOUNT

RECEIVED

Earn Pledging Perks!

Walkers, runners, and team members can earn perks based on th total amount raised and turned in by September 22.

$100+

2002 AIDS Walk/Run T-shirt

$150+

2002 AIDS Walk/Run Sweatshirt

$250+

Imaginethecure embroidered hat

Perks are cumulative. Earn all three. Team members must r separately to be eligible for perks and prizes.

Win Great Prizes!

SOUTHWEST AIRLINE OF FRIT DON

A SYMB

The top 3 money-raising individuals and teams will receive packages including a pair of roundtrip Southwest Airline tickets top money-raising participant. The top 3 finishing male and runners overall will receive cash prizes. Plaques will be awarded top 3 finishing male and female runners in 6 age groups.

Waiver Under 18? Please get a parent's signature!

I, the undersigned, agree to indemnify and hold harmless The Cle AIDS Walk/Run, Hermes Sports & Events, the City of Clevela sponsors, agencies, employees or volunteers, from all cost, expen liability arising out of my or my child's participation in this e benefit the Cleveland AIDS Walk/Run. I do hereby waive all cla damage or loss to my or my child's person or property which caused by any act, or failure to act, by Cleveland AIDS Walk/I officers, agents, or employees, arising directly or indirectly from my child's participation in this event, and I hereby assume liab any loss, damage, or other liability from such event.

Participant's signature:

Guardian's signature:

Registration Instructions

Date:

Date:

Convert all cash donations to one check or money order, an sponsors make checks payable to Cleveland AIDS Walk/Run. Contr are tax deductible. Returned checks will be proof of donation. Rece be available for contributions of $250 or more from one party. enter the total you will be turning in on September 22 below, registering.

TOTAL CONTRIBUTION: $

Company matching gift?

Yes

No

If yes, please include matching gift form.

15.

155

Thank you for your support!