Dressinyour
festivebest
Jingle
7th Annual
5/2.5K
(Santa suit, antlers, etc.) to support the YMCA
Strong Kids Campaign! All participants receive a
Santa Hat, Jingle Bell & are eligible for Door Prizes
Pre-register by Monday November 24th to win
Individual & Family YMCA Memberships
Day of Registration begins @ 9:00 am
Run/Walk Begins @ 10:00 am
Refreshments & Draw for Door Prizes for All
Participants Afterward
By taking part in the Jingle Fun Run/Walk, you are
helping our children stay active, fit and healthy, building
positive habits to last a lifetime. As a charity, the YMCA
strengthens our community, helping our youth grow in
spirit, mind and body so that they can reach their full
potential. Whether through health, fitness or recreation
programs, the YMCA is responsive to the needs of
children, youth and families in our community. Your
donation ensures that we can continue to provide the
values-based programs and services that enable a child
to be all that he or she can be.
Fun Run/Walk
for
Stratford-Perth Family YMCA
204 Downie Street,
Stratford, ON N5A 1X4
519-271-0480
www.stratfordperthymca.com
Sunday, November 30, 2014
Stratford-Perth Family YMCA
204 Downie St., Stratford
3
There are easy ways to participate!
1
Pay A Registration
Fee
Thank you to our 2014 Sponsors:
Gold:
Adults: (20 yrs & up) $25
Teens: (13 to 19 yrs) $15
Kids: (12 yrs & under) $10
Silver:
Everyone pre-registering by Monday,
November 24th is eligible to win Individual
& Family YMCA Memberships.
2
Collect Pledges
For the YMCA
Strong Kids
Campaign
Each person who raises $50 or more in
pledges will pay no registration fee and
become eligible to win draw prizes!
Use the pledge form on this brochure. Tax
receipts will be issued for donations over $20.
Bring the form and pledges with you on the
day of the run/walk and hand them in when
you check-in.
The more you collect, the more kids &
families can become involved in Y programs!
Thank you to our 2013 Prize &
Refreshment Donors:
3
Participate as a Team
Have even more fun participating as a team
with family, friends, work associates or your
school team. Teams of 3 or more will be eligible
for special team prizes. All forms for each team
member are to be submitted together at the
same time. All teams must register by November
24th to be eligible for the team awards.
Everyone pre-registering by Monday, November
24th is eligible to win Individual & Family YMCA
Memberships.
Individual
Prize Categories:
Team
Prize Categories:
Top Fundraiser
Best Child Costume
Best Teen Costume
Best Adult Costume
Best Costumes
Best Corporate
Best Fundraising
Bentley’s Inn, Bar & Restaurant, Boston Pizza, Canadian
Tire, Chocolate Barr’s Candies Inc., Crossfit Stratford,
Dave’s Diner, Demetre’s Family Eatery, Downie Street
Bake House, EB Games, Edward Jones – Shawn
Malvern, Family & Company, Fanfare Books, Food
Basics, Foodland, Fritz Financial Planning Ltd., Gene’s
Restaurant, Grotto Hair Studio, Jenn & Larry’s Brittle ‘n
Shakes & Ice Cream Cakes, Libro Financial, Mark’s Work
Wearhouse, McDonalds, Ontario St., McLeod’s Scottish
Shop, MyNextRace.com, No Frills, Nudge, Nudge
Fudge Inc., On Stage Dance Studio, Physio on Front,
RBC Financial Group, Runners’ Wall Running Apparel,
Scentsy, Schellenberg Lynn, Scotiabank, Signs Ontario,
Sirkel Foods, Small-Mart General Mercantile, Sobeys,
Stratford Shakespeare Festival, Stratford Toyota, Swiss
Chalet, Tanners Sun Salon, The (Cullitons) Stratford
Hockey Club Inc., The Co-operators, The Gentle Rain,
The Nutty Bakers, Tim Horton’s, Tupperware, Twice
The Deal Pizza, Village Studios
Our 2014 Volunteer Organizing
Committee:
Maria Savelle (Chair), Doug Drake, Grant Densted,
Leanne Herbert-Malvern, Lynn Schellenberg, Paul
Stewart, Joanne Trottier & Hans Willms
7th Annual 5/2.5K Jingle Fun Run/Walk for YMCA Strong Kids
Jingle
7th Annual
5/2.5K
Fun Run/Walk
for
Registration Form
Last Name :
First Name:
Address:
City:
Province:
Postal Code:
Date of Birth:
Age:
Sex:
Phone:
Email:
Check the Following:
❏ 5K ❏ 2.5K ❏ Team ❏ Individual
Team Name (Team registrations to be submitted together by November 24th):
How to Register:
In Person: at the YMCA Membership
Services Desk
By Mail:
Attn: Jingle Fun Run/Walk
Stratford-Perth Family YMCA
204 Downie Street,
Stratford ON N5A 1X4
By Phone: (519) 271-0480 with your
VISA or Mastercard
Everyone pre-registering by Monday,
November 24th is eligible to win Individual
or Family YMCA Memberships. After this date
participants are welcome to register the day
of the event.
Have you Collected Pledges?
❏ Yes ❏ No
Total: $
Please hand in pledge money on the day of the Run/Walk when you check-in.
❏ Release Waiver & Indemnity: In consideration of your acceptance of my entry, I hereby on behalf of myself, my
heirs, executors and assigns, waive and release all rights and claims for damages that I might have against the City
of Stratford, the YMCA of Stratford-Perth, the event organizers, the event sponsors, and their respective agents
and representatives as a result of my participation in this event. By submitting this, I acknowledge having read
and understood, and agreed to the above waiver, release and indemnification.
❏ Photo Release: I hereby authorize the YMCA to use any and all pictures taken throughout the event for use by
the YMCA in internal and external YMCA promotional materials including websites and electronic media.
Privacy Policy: When you supply us with your contact information, you may hear from us about this, and/or other
YMCA programs, services and initiatives that may interest and/or benefit you. If you do not wish to hear about other
YMCA programs, services or opportunities, please contact 519-271-0480, or e-mail [email protected]. This data
may de used to satisfy legal, government and regulatory obligations.
Date:
Print Name:
Signature:
If under 18 years of age, parent or guardian to sign:
Date:
Signature:
Print Name:
YMCA of
Stratford Perth
204 Downie Street, Stratford N5A 1X4
519-271-0480 www.stratfordperthymca.com
7th Annual 5/2.5K
Jingle Fun Run/Walk
for YMCA Strong Kids
Pledge Form / November 30, 2014
Participant Name:
Address:
Phone Number:
Sponsor Name
Email:
Street / City / Province / Postal Code
Phone / Email Address
Pledge Amount
All pledges from sponsors go to the Stratford-Perth YMCA Strong Kids Campaign to assist children, youth and families in our community. Receipts will be issued for all donations over $20.00.
Please make all cheques payable to YMCA of Stratford-Perth.