Sponsored by Children’s Dyslexia

Center—Central New York

Children’s Dyslexia Centers, Inc.
OUR MISSION 2021
We are a dedicated organization of CHILDREN’S DYSLEXIA CENTER
people who believe every child should
have access to high-quality reading and CENTRAL NEW YORK’S
writing instruction. We’re helping chil-
dren to successfully meet the literacy ANNUAL WALKATHON
demands in school and their future ca-
reers.
Since 2004 Children’s Dyslexia
Center-Central New York has helped
over 170 children in the Central New
York area discover the gift of reading, CELEBRATING
opening them up to a world of opportu-
nities that once seemed unattainable. 17 YEARS
We have also trained over 43 local edu-
OF SERVICE
cators in best-practice approaches to
teaching reading skills. The need for
these services is substantial, and we are
committed to helping children with dys-
lexia in our community reach their full
potential.

We’re walking and raising money

to run our program and teach dyslexic
children skills needed to overcome their The Annual Syracuse/Utica
disability. Walk to Help Children with
As many as one in five U.S. Dyslexia
school children are living with dyslexia. When: Saturday, October 2,
Dyslexia can’t be cured, but it can be 2021
overcome. The program offered at the Children’s Dyslexia Center (rain or shine)
Children’s Dyslexia Centers, Inc. offers Central New York
A Scottish Rite Charity Where: Your choice
the most effective treatment
PO Box 638 Course: 3K & 5K (3.1 miles)
of its kind in battling this
8280 State Route 69 Time: 10:00 AM
disorder. No one else in the Oriskany, NY 13424
nation has a program re-
Info: Craig Cobb
motely like it with one-on- Phone: 315-736-0576 315-446-0625
one professional tutoring Fax: 315-736-0575
offered to children free of charge. Visit us at: www.cnyclc.org
We need your help. Email: Central NY@cdcinc.org
 Registration
 I plan to participate in the WALK. Enclosed is
my registration fee of $15 for adults, $5 for
under 12 years of age.
 I cannot attend, but enclosed is my donation
of $_________.
 Please make checks payable to CDC Dyslexia
Walk and enter “CNY103” on the notation line.
 If unable to attend, please mail donations to Craig
Cobb, 115 Haverhill Drive, Dewitt, NY 13214
________________________________________________
Name (please print)
________________________________________________________
Address
________________________________________________________
City/State/Zip
________________________________________________________
Home Phone
________________________________________________________
Email
________________________________________________________
Work/Cell Phone
________________________________________________________
Emergency Contact and Phone Number
Participant Liability Agreement:
Please enter me in the “Walk to Help Children with Dyslexia”.
I, on behalf of myself, my heirs, executors, and administrators
hereby release the Children’s Dyslexia Centers, Inc. from any
and all claims, damages, and rights of action I may have,
present or future, that may arise out of, or be incident to my
participation in the Walk event. In addition, I grant permission
for the use of my name and/or picture in any photograph, film
or videotape of the event for any purpose.
________________________________________________________
Signature (parent or guardian if under 18 years of age)
This agreement must be signed and turned in on Walk day for
the registration to be valid. Separate registrations for each
walker are required.
Donation Form
About Us…
Walker’s Name: __________________________________________
The Children’s Dyslexia Center—Central
My Fundraising goal is: $ _________________________________
New York serves Syracuse, Utica,
Rome, and the surrounding area called
 The Children’s Dyslexia Center—Central New York is a Central New York. A second Center is
501(c)(3) non-profit organization and donations are tax
located ni Rochester, NY
deductible.
We encourage anyone who has or knows
 Please make checks payable to CDC Dyslexia Walk and
about a school-aged child struggling in
enter “CNY103” on the notation line
school due to poor reading and writing
 Mail your donations and sponsor list to: Craig Cobb, 115 skills to contact the Center for
Haverhill Dr. Dewitt, NY, 13214-2447 information and an application.
Sponsors (please print): Persons interested in lfuture training
classes to become tutor/scholars should
Name: ___________________________________________________ inquire at the Center.
Phone:___________________________________Amt: $ __________
Name: ___________________________________________________
Phone:___________________________________Amt: $ __________
Name: ___________________________________________________
Phone:___________________________________Amt: $ __________
Name: ___________________________________________________
Phone:___________________________________Amt: $ __________
Name: ___________________________________________________
Phone:___________________________________Amt: $ __________
Name: ___________________________________________________
Phone:___________________________________Amt: $ __________
Name: ___________________________________________________
Phone:___________________________________Amt: $ __________
Name: ___________________________________________________
Phone:___________________________________Amt: $ __________
Name: ___________________________________________________
Phone:___________________________________Amt: $ __________
Name: ___________________________________________________
Phone:___________________________________Amt: $ __________
Total Collected: $ __________
Bake Sale and Hot Dog Roast
(attach additional sheets if necessary) to follow