Saturday, August 24 8:00am | CityPlex Towers TulsaWalk.org

THEMORE
WALKTHAN
TO END
ALZHEIMER’S IS MORE THAN A WALK, IT’S A MOVEMENT.
A WALK
74,000 2,240
6,117
506
650
320
5,132 6th
The Oklahoma Chapter of the
Alzheimer’s Association currently supports more than
PROMISE GARDEN
Our local chapter has volunteers
working on a national level to keep
Alzheimer’s on the forefront of
discussion with policy makers.
information referrals, signed up
support groups,
Promise Flowers are FREE and available at registration the
morning of the Walk. Want to customize before the Walk?
Flowers will also be available at Packet Pickup, August 21
and 22.
When a person is diagnosed with Alzheimer’s, their lives
and the lives of their entire family are altered forever.
Promise Flowers represent the unique, personal reasons
people Walk.
leading cause of death in the United States and is the
only threat in the top 10 without a cure, treatment,
or a proven method of prevention.
SCHEDULE OF EVENTS
WaLK DAY SCHEDULE
We gave
Saturday, August 24
CityPlex Towers
7:00am Registration Opens
7:30am Untimed 5K Run/Walk
8:00am Walk to End Alzheimer’s
Ceremony & 1.5-mile Walk
10:00am Quarter-mile Walk
10:15am 100-yard Kids Dash
care consultations and
people affected by Alzheimer’s disease at no cost to
the recipients, thanks to the generous support of our donors.
In 2012, our chapter hosted
Ways to Register
• Register online at TulsaWalk.org through
Friday, August 23
• Mail the attached paper registration form by
Wednesday, August 14
• Register in person at Packet Pickup or the morning of the Walk
The Walk To End Alzheimer’s builds
awareness and creates a sense of
community for our supporters.
policy advocates, and promoted clinical trials
throughout the United States.
Programs like “Drawing on Memories” help
people express themselves, connecting to past
experiences and loved ones.
Alzheimer’s is the
annual conference attendees, and nearly
Our annual conferences keep our
local communities informed
on the latest issues.
*fees may apply
community education participants.
The Alzheimer’s Association Walk to End Alzheimer’s® is the nation’s largest event to raise awareness and funds for Alzheimer’s care,
support, and research. Since 1989, the Walk has raised more than $250 million to help those battling the disease.
The Walk unites the entire community - family, friends, co-workers, social and religious groups, and more - in a display of combined strength
and dedication in the fight against this devastating disease. While there is no fee to register, each participant is expected to
fundraise in order to contribute to the cause and raise awareness.
I support the cause and vision of a world without Alzheimer’s disease
I am supporting or caring for someone with Alzheimer’s disease
I have lost someone to Alzheimer’s disease
Visit www.tulsawalk.org
for online registration and information
Visit www.tulsawalk.org or call the Walk Helpline at
918-392-5012 for online registration and information
Walking in Tulsa
The Tulsa Walk features four events for all ages; an Untimed 5K Run, 1.5-mile Walk, Quarter-mile Walk, and 100-yard Kids Dash.
The “state fair” atmosphere at CityPlex features giveaways from local and national sponsors, live music, tasty treats, fun for kids and pets,
plenty of free water, Team and fundraising recognition, and much more.
Oklahoma Chapter
2448 E. 81st Street, Suite 3000
Tulsa, OK 74137
P rese n ti n g ME D IA
P rese n ti n g S pon sor
Saturday, August 24
8:00am | CityPlex Towers
TulsaWalk.org
I have Alzheimer’s disease
Packet Pick-up (required for all participants)
Wednesday, August 21 and Thursday, August 22
Woodland Hills Mall, lower level in front of Dillard’s
10:00am - 8:00pm
Claim your required Walk bib, Walk t-shirt
(for raising $100 or more), and other important
information at Packet Pickup. Here, you can also
turn in donations, pick up your Promise Flower, and
seek registration or fundraising help.
Team Captains are encouraged to make an
appointment if picking up for a large Team.
Email [email protected] to set your Packet
Pickup appointment.
Questions?
Email [email protected] or call the Walk Helpline
at 918-392-5012.
HOW TO FUNDRAISE
EARN
YOUR
T-SHIRT
MORE
THAN
A WALK
Register. All Walk participants must register
online, by mail, or in-person.
Make a personal gift. Donors are more likely
to make a gift if you show that you have already
done so.
Write your fundraising email/letter.
The #1 reason people do not give is because they
were not asked. Share your personal story with
friends, family, and co-workers to raise donations
and awareness.
Plan fundraisers with your Team.
Fundraising with your Team is fun! Check out the
Team fundraising ideas in your Participant Center.
Use ALZ fundraising resources. The Walk
provides you with posters, matching gift forms,
fundraising items to sell, and much more.
QUESTIONS? Email [email protected] for
more information, or call the Walk Helpline
at 918-392-5012.
WALK
TO END
ALZHEIMER’S
MORE
THAN
A WALK REGISTRATION FORM
Register Online at www.tulsawalk.org
or mail this form to:
Alzheimer’s association, OK
dept 2845
Tulsa, ok 74182
WALK DAY INFORMATION
Teams of 10 or more
participants are eligible to
compete for fundraising and
recruitment awards.
The Walk site is at CityPlex Towers (previously the
City of Faith). The Walk courses are on 81st Street
(which will close at 7am) and the campus of ORU.
ALZ Star Teams. Top fundraising Teams the day of
the Walk in 3 categories; large Team of 50+, medium
Team of 26-49, and small Team of 10-25.
Set a goal. We suggest a fundraising goal of at
least $100 (t-shirt level). Participants who raise at
least $300 are eligible for fundraising prizes.
Participants who raise at least $500 are recognized
in the Champions Club.
Log in to your Participant Center.
Fundraising is easy with the tools and resources in
the Participant Center! Fundraise with Facebook,
customize ready-made email templates, import
contacts, and so much more!
GET INTO THE TEAM SPIRIT!
All participants who raise or donate at least $100 by the day of the
Walk will receive an official 2013 Walk to End Alzheimer’s t-shirt.
T-shirts can be claimed at Packet Pick-up or at registration the
morning of the Walk.
Champions Club
The Champions Club is a highly competitive fundraising honor
reserved for participants who raise $500 or more for the Walk.
Club members receive both national and local recognition for
their efforts.
Champion Teams. Top overall fundraising Teams
(to be determined at the close of fundraising, 30 days
after the Walk) in 3 categories; large Team of 50+,
medium Team of 26-49, and small Team of 10-25.
Wheelchairs and strollers are permitted.
For the safety of all Walkers, we ask that participants
using wheelchairs or strollers stay toward the back
of the Walk group.
Largest Teams. In 5 divisions; Corporate, Faithbased, Friends/Family, Long-term Care, and School/
University.
Skateboards, in-line skates, bicycles and
scooters are NOT permitted at the Walk.
Champions Club Award. Team with the most
members in the Champions Club.
Rookie of the Year Award. New Team with the
most fundraising.
National recognition for participants who raise at least
$500 includes:
• Champions Club commemorative medal
• Fundraising badge on your Walk webpage
• Thank-you certificate on national Walk thank-you webpage
Local recognition for the top 50 Walk fundraisers includes:
• Access to Champions Village the day of the Walk
• Invitation for the participant and their top two donors to the Champions Club Luncheon
• Official 2013 Champions Club t-shirt printed with name,
rank, and dollars raised
• Name, rank, and Team name in all Walk newsletters
NEW! Medical Challenge Award. A traveling
trophy presented to any Team in the medical
services industry with the most funds raised.
Champions Village. The first 20 Teams to raise
$5,000 will receive a 10x10 tailgating tent in the
Champions Village, complete with table, Team
banner, catered breakfast for up to 25 Team
members, and “purple glove” treatment! Champions
Teams are encouraged to bring coolers, chairs, and
snacks to their tent. Additional tents, or tents erected
by Teams who did not raise $5,000 by the deadline,
are not permitted.
(Please fill in all fields and sign below.)
First name (Please complete entire form)
Type of Registration (Please choose one)
Untimed 5K Run/Walk
1.5-mile Walk to End Alzheimer’s
Quarter-mile Walk
100-yard Kids Dash
Virtual Walker (those who cannot be
present the day of the Walk)
Team Name:
Team Captain:
JUMP START THE WALK BY MAKING A DONATION:
$35 – Your donation helps the Alzheimer’s Association deliver
education programs and support groups to assist more than 5.4
million Americans living with Alzheimer’s.
$60 – Every dollar helps us to fund programs like TrialMatch to
connect people to clinical trials and fuel the science that will find
a cure.
$120 – You empower our cause by engaging elected officials
to make fighting Alzheimer’s a national priority.
$
Total
Make checks payable to Walk to End Alzheimer’s.
M.I.
Are you bringing someone with you to the
walk who has alzheimer’s disease? If so,
come to the Respite Tent and let the trained staff
from LIFE’s Adult Day Services engage them in
activities and provide refreshments and a cool,
comfortable place to relax while you participate in
the Walk festivities.
The Walk will occur rain or shine. In the
event of extreme weather conditions, the Walk
may be cancelled. No refunds will be issued for
donations or sponsorships.
Prese n ting Spo nsor
Last name
E-mail address
Prese n ting MEDIA
City
State
Zip
Phone
Birthdate
M
M
D
D
Y
Y
Y
Y
T-shirt size:
Small
Medium X-Large
XX-Large
Large
PLATINUM SPONSORS
XXX-Large
Please Read and Sign Below:
ASSUMPTION OF RISK, RELEASE AND PERMISSION
Walk to End Alzheimer’s(TM) involves walking - an activity which may include risks such as, but not limited to, falls, interaction with other
participants, effects of weather, traffic and conditions of the road. In consideration of being allowed to participate in this event, I hereby expressly
assume all risks, including bodily and personal injury, death, property loss or other damages of any kind arising in any way out of my attendance or
participation in the Walk to End Alzheimer’s and related activities.
GOLD Spo nsorS
It is my responsibility to dress appropriately. Although route maps, rest stops, refreshments, and other assistance may be made available during
this event, I am solely responsible for my own health and safety. I represent that I am physically fit and able to attend or participate in this event.
I hereby for myself, my heirs, executors and administrators, release, discharge and agree not to sue Alzheimer’s Association, its chapters,
their respective officers, directors, volunteers, employees, sponsors and agents, from any and all liability, claims, demands and causes of action
whatsoever, arising out of my participation in or attendance at this event and related activities whether resulting from the negligence of any of the
above or from any other cause.
SILVER Spo nsorS
I agree that my assumption of risk and release hereunder shall be as broad and inclusive as is permitted under applicable law. If any portion of this
agreement is held invalid, the remainder shall continue in full force and effect.
I grant full permission in perpetuity to the organizers of this event to use, reuse, publish and republish my name and image as a participant in the
event in photographs, video or other recordings.
I have read, understand and agree to the terms of this agreement.
If Participant is a minor, the parent or guardian must agree to the below: I am the legal guardian of Participant, and I hereby consent to his/her
participation. I have read the foregoing agreement, and I hereby agree on behalf of myself and Participant to its terms.
Participant’s Signature:
BRONZE SPONSORS
Date:
Panera Bread, Inc
Saint Simeon’s
Woodland Hills Mall
Parent’s/Gardian’s Signature if under age 18:
Be sure to check out this year’s fundraising
prizes at www.tulsawalk.org
Leashed dogs are also welcome at this event. Be
sure to visit the Purple pAWZ Tent for special treats
and surprises for your pup.
SPECIAL THANKS
Address
REQUIRED INFORMATION
Ample, complimentary parking is available
at the Mabee Center at ORU. Handicapped parking
is available by reservation at CityPlex Towers. Email
[email protected] to reserve a space.
For Office Use Only Check #
CC: Bib #
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