2012 Health Walk & Fitness Challenge

SPONSOR NAME:______

ADDRESS:______P.O. Box: ______

TELEPHONE:______TELEFAX:______

E-MAIL ADDRESS: ______

SPONSOR CATEGORIES (Please indicate preference)

$ 2,000PLATINUM SPONSOR (Banner, Plaque, Media Recognition, Poster Signage on route

and a maximum of 30 participants to be registered)

$ 1,000GOLD SPONSOR(Banner, Media Recognition, Poster Signage on route

And a maximum of 15 participants to be registered)

$ 500SILVER SPONSOR (Banner, Media Recognition, Poster Signage on route and

a maximum of 7 participants to be registered)

$ 300BRONZE SPONSOR (Banner, Media Recognition, Poster Signage on routeand

a maximum of 5 participants to be registered)

Special Instructions: ______

______

Rotary contact: ______

KINDLY RETURN THIS FORM WITH YOUR CHEQUE NO LATER THAN APRIL 20th, 2012

TO P.O. BOX N-709 OR TO YOUR ROTARY CONTACT. THANK YOU.

PLEASE FIND ENCLOSED OUR/MY DONATION OF $ ______

SIGNED: ______DATE: ______

IMPORTANT:

Kindly besure to provide your company logo in high resolution to be used on a printed banner or signage.

2012 Health Walk & Fitness Challenge

REGISTRATION FORM

Guidelines for the Event:

Walkers are encouraged to form teams among their respective Company, Civic Organization, Church, Etc.

This is a walk-a-thon, NO RUNNING

Teams must consist of at least 5 participants

Teams are required to identify themselves by T-Shirt with company logo or name

There will be no age category for this event

The overall team winner will receive the overall Corporate or Group winning trophy

  • To win the challenge your team must have the highest amount of individual participants finishing the walk

The fastest team winner will receive the fastest Corporate or Group winning trophy

  • To win the challenge your team must have the five individual participants who form the team finishing the walk ahead of any other team by the first five across the finish line

There will be a prize for the fastest male and fastest female

The Route:

The race begins at Rotary Park at Arawak Cay at 6:00am. The walkers will travel West onto West Bay Street to the roundabout at Goodman’s Bay and then head back East on West Bay Street to conclude the race at Rotary Park, Arawak Cay.

ENTRY FEE: $15 for Individuals and company employees numbering more than the Sponsor category allocation

Application Form

Name: ______Male __ Female

Date of Birth: ______

To the best of my knowledge I am fit to participate in the Rotary Health Walk & Fitness Challenge Walk-a-Thon

Sign: ______Date: ______

Rotary = Service Above Self