2011 Celebrating Healthy HBCUs National Health Walk

Celebrating Healthy HBCUs National Health Walk

Host Partners: Sisters 4 Sisters Network, Inc., Catalyst Chapter of Blacks in Government, and Bonne Amies

Walking As One Community: Leadership, Diversity, Health and Economic Empowerment

Will Your HBCU / Organization / Ministry Be Represented?
Be There for the “Shout Out” for Healthy Campuses and Community Lifestyles

September 17, 2011

U.S. Capitol Reflecting Pool

Come Meet Health Walk Honoree, Meadowlark Lemon

and book signing for "Trust Your Next Shot: A Guide to a Life of Joy" by Meadowlark Lemon

university gear or favorite HBCU wear

Registration Deadline:     September 15, 2011

Registration Contribution:

       - Registration Deadline: September 15 - $25

      - Children 12 and under walk free!

      - $5 for ages 13 to 17

     - $10 for ages 18-21

        - Included in your registration is a water bottle, fanny pack, and a commemorative HBCU hat. Show support by wearing a t-shirt and paraphernalia representing your organization or HBCU affiliation.

Bon Voyage...
Walk ends with a networking Healthy Snack Breakfast

Need Team T-Shirts? Custom T-Shirts Designed by Yusef @ allstardesigners@aol.com, at a discounted rate.

Refreshments and giveaways

Questions? - 105mgmt@gmail.com

Vist our host partners: www.sisters4sistersnetwork.org

Build a team of 105 walkers! Pick a name for your team and Register below! To get to a team of 100 identify ten key friends and have them get ten of their friends to join as well.

2011 National Health Walk Registration Form

Registration Deadline - September 15, 2011
NOTE: NO ONSITE REGISTRATION will take place.

Are you:

Name:

Address:

Telephone:

Cell Phone:

Email Address:

Referred By:

Walk Team Name:

Register your walk team

Registration Fee: $20.00
early bird registration $20 / $25 August 15 and on

I want my $5 donation to go for a scholarship to a deserving student to attend a HBCU:

HBCU Alumni:

Non-profit Organizations:

Church/Group:

All organization MUST be a 501(c) 3 or 501(c) 4 non-profit

Waiver in consideration of your accepting my entry and permitting me to attend or participate therein, September 18, 2011 105 Voices of History - HBCU National HBCU Walk. I intend to be legally bound hereby for myself, my heirs, executors and administrators, waive and release any and all rights and claims for damages/ injuries I may now or in the future have against Partners Achieving Success, CDC, 105 Voices of History, all race participants, sponsors, or their representatives, agents, members or assigns for any and all losses and/or injuries suffered from or participating in or attending said walk, specially including any claims based upon the negligence of persons, the foregoing parties, and entities, I verify that I am mentally, physically / health fit and sufficiently healthy for this walk.

Team Pre Registration Form

Are you:

Name:

Address:

Telephone:

Cell Phone:

Email Address:

Walk Team Name:

Walk Team Captain Name:

Referred By:

Need Team T-Shirts?
Custom T-Shirts Designed by Yusef @ allstardesigners@aol.com, at a discounted rate.

"Build a Team of 105 to Raise Your Own Scholarship $$$$"
Team of 10 Friends - Get Ten Friends Each + 5
Friends, Colleagues, Family and Church Members

Registration fee: early bird registration $20 / $25 August 15 and on

I want my $5 donation to go for a scholarship to a deserving student to attend a HBCU:

HBCU Alumni: