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2012 5K Run/Walk for Life in San Diego - Cardiovascular Disease Foundation

2012 5K Run/Walk for Life in San Diego - Cardiovascular Disease Foundation

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Published by Jeff Dowler
Registration and Sponsorship Forms for the 2012 Cardiovascular Disease Foundation's 9th Annual 5K Run/Walk for Life in San Diego CA on April 15, 2012 from 8 am to 1 pm. Come run or walk and raise money to support cardiovascular disease education and prevention
Registration and Sponsorship Forms for the 2012 Cardiovascular Disease Foundation's 9th Annual 5K Run/Walk for Life in San Diego CA on April 15, 2012 from 8 am to 1 pm. Come run or walk and raise money to support cardiovascular disease education and prevention

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Categories:Types, Brochures
Published by: Jeff Dowler on Feb 29, 2012
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02/29/2012

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SK Run/lttfaflk For [fifu@ & Srme ffimmmumf,W Health Fair Sunday, Apr$$ KS, kffififfi, ffimffi * [pmr Seaport Village - Embarcadero Marina Park ruorth
849 West Harbor Drive San Diego, CA 92101, Adults - $2S After flWmrch KS - $RS K$ds eR & L$mdmr mre SRHHI Active Suty ilMit$tary tine* Fmlice & their Fanrn[iies mre $X5
Register for the 5K Run/Walk or make a Donation: By Mail, By Phone - (760) 730-L47t or 888-249-9575 , at Event, or Online at: Funds raised henefit free services and

Directions & Parking: From l-S-Take exit 17 to merge onto Front St.
toward Civic Center. Turn right onto West Market St. Turn right onto West Harbor Dr. Make a U-turn at Pacific Highway. Seaport Village will be on the right.

Event is Held in Rain or Shine!
Sundoy, April 15,2A12

Sorry, No Dogs Allowed.

programs that teach San Diego County residents ol all ages how to prevent, treat, and diagnose heart disease, stroke, ond its risk factors. CVDF's Tax lD Number: 050536041
k For Life

REGTSTRATTON
DATE OF BIRTH

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DAYTIME PHONE NUMBER

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STREET ADDRESS CITY
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Cardiovascular Disease Foundation 3088 Pio Pico Dr. Suite 202 Carlsbad, CA 92008

After March {5 - $25
Donations

RunANalk Entry Fee -

$20

$

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I won't be able to attend. My donation is enclosed. $ Total Enclosed $ T-Shirt size: S MLXL

HOLD IIARMLESS AGREEMENT (ALL PARTICIPANTS MUST SICN): I acknowledge that this athletic event is an extreme test of a person's physical and mental limits and carries with it

property theft or actions of any kind which may hereafter occur to me including my traveling to and from this event, THE FOLLOWING ENTITIES OR PERSONS: Cardiovascular Disease

document: and, I understand its content.
Sionatrrre t'Tfrrnder 18 vears old narent/gtrardian simatttre rectrited)

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Team/trndividual's Na Team Leader (if applies) Address
Phone

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Tearn Member / Sponsor First & Last Name

Email (Individuals can use form below to sign up sponsors.)
Address

poiration Amount Team Member or Entry Fee or Sponsor

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Temrm$ xEach individual team member must register separately. Team Leader can collect fees, or fees may be paid individually. Team leader must clreck-in his/her team and turn in form at the "Team Check-in Table," Fax form to (760) 730-0165 or email to engerer@cvdf.org Each team will receive a photo and be featured in the CVDF newsletter and website. #**uffi6. d$# F4s*m$tr$t $mp.qp$mw ffisc$rfifu$ffm*.s, $ip'mw h$mm$tfu $enmwrxfrmgs,

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Sponsorship Packages
Bronze Heart Sponsor $100 (with booth space $2S0) -Logo/name in program -VlP parking for exhibitors -Recognition from Emcee at event

Silver Heart Sponsor $350 (with booth space $S00) -All benefits above plus: -Name/Logo on posters & 15,000 brochures
-Thank you sign on course

Gold Heart Sponsor $700 (with booth space $850) -All benefits above plus: -Name/Logo on starl/fin ish banner -Name in press release Platinum Heart Sponsor $1,400 (with booth space $1,S50) -All benefits above plus:
-Prime booth location -Name/Logo on Commemorative T-Shift

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Diamond Heart Sponsor $2,800 (with booth space $3,000)
-AIl benefits above plus -Name/Logo in 3,000 newsletters -Name with link on website homepage for one year -Promotion on Social Networking Websites

Title Sponsorship Available -Please contact our Executjve Director, Malrnda Engerer for exclusive sponsorship benefits at. 76A-730-1471 x304

Please review the deadlines und complete the form on the buck,

Logo Deadlines Vary, To Ensure Complete Recognition Email Logos ASAP to: engerer@cvdf.org /ogos
shoutd be formatted in illustrator with a full color and black & white versron Payment: Please make checks payable to Walk For Life@. ln order to secure sponsorship, please complete the form below and mail with payment to CVD Foundation, 3OBB Pio Pico Dr Ste. 202, Carlsbad, CA 92008, Limited space available

Event Rules & Hold Harmless Agreement: I shall comply with all rules and regulations of the City and Porl of San Diego. I will be responsible for setting up and removing-my display I shall indemnify, hold harmless and defend the City and Port of San Diego CVDF r agents, employees and contractors, against any and all costs and , lorganizer of ttre ErTeni) and their tujp""iiuu officers drrectors, volunteers, i iiuU]titi". of any kind (including attorneys' fees) which they incur because of my use or occupancy of the space, or as a consequence of my i piomotion of any proOr.t or service. I will maintain comprehensive or commercial general liability insurance covering all operations during the are not limi Event. I acknowledge that this event carries with it the potential for death, serious injury and property loss. The risks include, but iiteO to, those caused by terrain, facilities, temperature, weather, equipment, vehicular tralfic, actions of other people including, but are not are not only i timiteO to, participants, volunteers, spectators, event official, and/or producers of the event, and lack of hydration. These risks risks of participating and/or volunteer, inl"i"nt io seruice providers, exhrbitors, but are also present for volunteers. I hereby assume all of the parl of the persons or entities being released, from i ing in this event. I iealize that liability may arise for negligence or carelessness on the oJng"rou. or defective equipment oi property owned, maintained or controlled by them or because of their possible liabillty without fault. i person. lacknowledge ,certitythat lam physicallyfii for participaiionin the event and have not been advised otherwise by a qualified medical participate, Hold Harmiess Agreement form will be used by the event holders, sponsors and organizers of the event in which I may i that t'he of my application and permitting me to participate in this iand that it will govern my"actions and responsibilities ai said event. ln consideration successors, and assigns as follows: (A) Waive Rei"u"ni, Lr.1"r"uy"tage actibn for myself, my executors, administrators, heirs, next of kin,property damage, property t!"_1o_t actions of any kind Lur" unJoii6r.r.irgu from any uno att tia'oitity for my death, disability, personal injury, ; me including my trav;ling to and from this event, THE FOLLOWING ENTITIES OR PERSONS: Cardiovascular i *f,1ilf,1 miy nereat6r occur to port of San oiego, their directors, officers, employees, volunteers, representatives, and agents, the event hold, pir""r"EornOution, City and and all iers, event rponsorr, eu"nt volunteers; (B) lndemnify and Hold Harmless the entities or persons mentioned in this paragraph from any or claims made as a result of participation in this event, whether caused by negligence of releases or otherwise' I hereby consent to , iul'-if iti"r illness during this event. I understand that i receive medical treatment which my be deemed advisable in the event of injury, accident and/or producpnotographeO. lagree to allow !y photo video orfilm likeness to be used for any legitimate purpose by the event holders, ir"V O" of Liability shall be construed broadly to provide a release and i ers, sponsors, organrzers ind assigns. The Accjdent Waiver and Release I have read this document: and, I understand its content. : walver to the maximum extent perriissible under applicable law. I hereby certify that
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Sponsor Amount: $ Name of Company Sponsor: Sponsor Representative and Title: Address:
Phone:

Bringing Own 10X10 Tent? Yes

No

Fax:

Email:
Signature:
Date:

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