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REGISTRATION
FORM
| When: |
Saturday,
December 11, 2010 |
| Registration: |
7:00a.m.-7:30a.m.
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| Walk
Begins: |
7:45a.m. -12:00noon |
| Where: |
Darby
Park & Recreations, 3400 Arbor Vitae, Inglewood, CA
(Corner of Crenshaw and Arbor Vitae)
Learn how this event can be a FUNDRAISER for your organization as
well. |
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This event is filled with exciting entertainment, cash prizes, games, and lots of fun. Come cheer on our Walkers as they walk to bring awareness and education about how to stop and minimize crime against children in our schools and surrounding communities.
Supporting Organizations: Men of Integrity, Vessouls of Transformation: Sisters of Change, New Jericho Baptist Church, High School, SOHGCC. These organizations are challenging other organizations to come support the effort to bring awareness and education about how to stop and minimize crime prevention in our schools and surrounding communities.
New Book Release: DTDSS will culminate this day with a powerful New Book Release!: Youth Expressions Making Cents! Authored by dynamic youth representing over 20 unified schools, ages ranging from 6 - 18 years of age.
We Thank Our Sponsors
Office Depot, Smart & Final, El Camino College, Derrick's Jamaican Cuisine, Acts Bible Church, Bryant Temple A.M.E, New Jericho Christian Church, Redeemer Baptist Church, Bryant Temple A.M.E. Church, Immanuel Turner A.M.E, and many many more...
To Register: Print form, Tear
off at dotted line, Complete and mail to the address listed below.
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13th
Annual 5K Walk-A-Thon & Family Day -
Registration Form
| _____ |
Yes, I want
to walk in the 5K/10K Walk-a-Thon. My registration fee of $25.00
is enclosed. Please mail my pledge form packet to the address
listed below.
|
| _____ |
I want
to be a volunteer at this event |
Last Name:___________________First Name:______________________Middle
Int.___ Sex: M ___ F ___
Home Address:___________________________________________________________
City:_________________________State:________Zip Code:_____________
Business Phone:__________________________Email:__________________________DOB:_________
Mail your registration fee
of $25.00 to
Dare2Dream Scholarship Society, Inc.
4067 Hardwick Street #282, Lakewood, CA 90712
Make checks payable to: Dare
to Dream Scholarship Society, Inc.
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