16th Annual “Walk for the Cure ”

When: Sunday September 17, 2017
Time: 11:00- 3:30pm
Where: Geneva High School
1301 South Ridge Road East (State Rt. 84)
Geneva, Ohio 44041

Survivor Ceremony 1:30 pm
Free registration for breast cancer survivors (Includes T-shirt & Gift Bag)
Registration Fee $20 for all other participants. (Commemorative T-Shirts to the first 300 registrants)
Vendor & Craft Fair, Basket Raffle, Door Prizes
Breast Self-Awareness Education and Breast Cancer Resource Information

Food provided by Applebee’s (Ashtabula)

Join us for a relaxing 2-mile walk at 2pm with family and friends to draw awareness about breast
cancer and to honor the survivors.
Please make checks payable to: UH GMC Walk for the Cure
Send registration checks to: UH Geneva Medical Center, Attention: Lori Slimmer
870 West Main Street, Geneva, Ohio 44041
For additional information call: (440) 998-0680

Like us on Facebook under “Ashtabula County Walk for the Cure”

All proceeds stay local & will benefit breast cancer programs, tools, education & research.

In consideration of your accepting this entry, I hereby, for myself, heirs, executors and administrators, waive
and release any and all rights and claims for damages I may have caused UH Geneva Medical Center and Geneva High
School or their representatives, employees and successors for any and all injuries suffered by me in this event. I
further attest and certify that I am physically fit and am sufficiently trained for participating.

Name: _________________________ Breast Cancer Survivor (circle one) Yes

Address: ___________________________ Phone Number: _________________

T-Shirt Size (circle one) S M L XL XXL XXXL (limited)
Signature (parent/guardian if under 18):________________________________________

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