Empoweringthepoor.org - Empowering the Poor Communities to Self-Reliance and Dignity

	Theme: Rain or Shine, we Run and Walk because every 30 seconds a child dies from malaria in Africa.
	Date: Sunday, April 20th, 2008
	Where: Downtown Fredericksburg Rappahannock Library (1201 Caroline street) Time: 7:30AM Sponsor, Run, or Walk and you automatically become a WINNER. All participants will receive free T-shirt, sun-visor, refreshments, etc. Register Now!!!! Click here to register 3rd Annual Malaria Run Walk

3rd Annual Malaria Run Walk Fredericksburg 2008

INDIVIDUAL AND TEAM REGISTRATION FORM

First Name
Last Name
Address:
City:
State:
Zip:
Phone Number:
E-mail:
Gender:	M F
Age Group:	19-under; 20-29; 30-39; 40-49; 50-59; 60 +
	Walk($15) Run($20)
T-Shirt:
	I am walking/running and joining the fight against malaria by making a personal contribution I am unable to walk or run but will support the fight against malaria by making a personal contribution
My contribution is:	$
Waiver:	In consideration of the foregoing, I for myself, executors, and administrators, waive and release any and all rights and claims for damages I may have against Empowering The Poor, Inc. (ETP), and any and all sponsors or supporters, actions whatsoever in any manner as a result of my participation in this event and that my medical condition to do so has been verified by a licensed medical doctor. Further, I grant permission for the organizers to use photographs/images and quotations from me in accounts and promotions of this event. I have read the above conditions and accept them as shown by my signature.
My signature:	I accept conditions
Date:
Refreshments:	Runners: Top 3 male and female finishers of each age group will receive a trophy. Help End Malaria: Run or Walk, Pledge, or Sponsor.

Donations:

SUNDAY, APRIL 22nd, 2008

7:30AM
Start: Central Rappahannock Regional Library in downtown Fredericksburg
Distance: 3.05 miles

Visit our Malaria Booth located in the parking lot of the Central Rappahannock Regional Library for registration form, Run/walk packet, refreshments, T-shirts, and further information about malaria or Empowering The Poor.

For further information about the Run/Walk please contact
RWAMA’ director
Darius Coulibaly (615) 294-7614
coulibaly@empoweringthepoor.org

Direction to the Run/Walk Site

From I-95: Exit I-95 at Exit 130A (to Route 3 east, downtown Fredericksburg). Follow Route 3 east 1.6 miles until you see a sign for Route 3 east business at the intersection of Route 3 and William Street. Turn left onto William Street. Follow William Street about 1.3 miles. You will pass the University of Mary Washington and a cemetery (both on your left) as you head towards downtown. Once in downtown, turn left onto Caroline Street . Follow Caroline about 2 blocks and you will see the Central Rappahannock Regional Library on your right. Turn right on Lewis just before the library to reach the parking lot in the back

Special Thanks to:
CAAGRI
Dominion Contracting Company
Data System Plus
M & M African Braiding
Outback Steakhouse

Learn more about RWAMA 2008

TEAM REGISTRATION FORM

Start a team (4 members or more) and ask for contributions from within your corporation, school family, friends, church, temple, club, business, etc.

	Corporate/Church/temple/ Team Club/ School/College/Family/Friend Team
First Name
Last Name
Address:
City:
State:
Zip:
Team name :
Phone Number:
E-mail:
Gender:	M F
Age Group:	19-under; 20-29; 30-39; 40-49; 50-59; 60 +
	Walk($15) Run($20)
T-Shirt:
Team fundraising Goal is :	$
	I am walking/running and joining the fight against malaria by making a personal contribution I am unable to walk or run but will support the fight against malaria by making a personal contribution
My contribution is:	$
Waiver:	In consideration of the foregoing, I for myself, executors, and administrators, waive and release any and all rights and claims for damages I may have against Empowering The Poor, Inc. (ETP), and any and all sponsors or supporters, actions whatsoever in any manner as a result of my participation in this event and that my medical condition to do so has been verified by a licensed medical doctor. Further, I grant permission for the organizers to use photographs/images and quotations from me in accounts and promotions of this event. I have read the above conditions and accept them as shown by my signature.
My signature:	I accept conditions
Date:
Refreshments:	Grand Prize awarded to the team that raises the most funds. Refreshments and drawing prizes at the finish.