Presents the 2016

DUKE ISLAND PARK Old York Road, Bridgewater, NJ

SATURDAY, June 4th, 2016 Race registration at 7:30am, Race Start: 8:30am

Walk registration at 8:30 am Walk Start: 10:00am

RAIN OR SHINE

SPONSORSHIP OPPORTUNITIES (Deadline for sponsorship is May 16, 2016)

Race Sponsor - $1,000 *Largest Sponsor logo printed on front of walk t-shirt* Sponsor logo on event signs and event web page

* Hyperlink to your website from our event web page andmonthly news blasts (Feb-June)

*Free table and tent at the event to promote your business

Gold Medal Sponsor - $500 * Extra-large sponsor logo printed prominently on the

back of the walk t-shirt * Sponsor logo on event signs and event web page

* Hyperlink to your website from our event webpage andmonthly news blasts (Feb-June)

*Free table at the event to promote your business

Silver Medal Sponsor - $250 *Large sponsor logo printed on back of walk t-shirt

* Sponsor logo on event signs

Bronze Medal Sponsor - $150 *Sponsor logo printed on back of walk t-shirt

Host Table - $100 * Bring your own table and tent to promote your business

Name:_________________________________________

Organization:___________________________________

Address: ______________________________________

City:____________________ State:_____ Zip:________

Email:_________________________________________

Amount enclosed:_______________________________ Check Visa/MC Amex Cash

Credit card # ___________________________________

Expiration date: _____________________________

Signature ______________________________________

Questions? Contact Lisa Marie at 908-658-3805 or via email at lisamariea@thearcofsomerset.org. Email logo artwork by May 16th 14

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Step Up For The Arc Step Up For The Arc Step Up For The Arc Walk & 5K RunWalk & 5K RunWalk & 5K Run

Jack M. Ciattarelli Assemblyman

16th Legislative District

Please patronize our community sponsors!

Their support is what drives the success of our event.

Thanks to Our Local Sponsors

New Jersey DJ Services Inc.

W A L K E R / R U N N E R F U N D R A I S I N G S H E E T Make checks payable to The Arc Foundation of Somerset County. Collect your pledges in advance, and

mail them to The Arc Foundation of Somerset County, or bring them to the event on June 4, 2016

Donor’s Name Pledge Collected

Please photocopy this form as needed.

R E G I S T R A T I O N F O R M

Complete this form and mail or fax it by May 16th to receive a t-shirt at the event

Registration Type: Walker ($20) Runner ($20) Student Walker ($10) Student Runner ($10) Youth walker/runner($5)

My registration fee is enclosed I pledge to raise $50 or more by 6/4/16(Fee will be waived)

Name_________________________________________

Address _______________________________________

City ___________________ State_____ Zip _________

Email__________________________________________

DOB (runners ONLY)______________________________

Emergency Contact ______________________________ (Name & phone number)

Team Name____________________________________ My T-Shirt Size (circle one) S M L XL XXL XXXL

(Please note: Only pre-registered attendees before May 16th are guaranteed a T-Shirt the day of the event)

I cannot attend, but please accept my donation of:

$25 $50 $100 Other ____________

In consideration of being permitted to participate in the 2016 Arc Walk/5K Run, I hereby assume any and all risks which might be associated with the event. I further waive, release, discharge, and indemnify The Arc Foundation of Somerset County, The Somerset County Parks Commission, volunteers, sponsors, and others associated with the event from any and all claims for injuries or damages of any kind arising from participating in the Walk/5K Run. I permit The Arc Foundation of Somerset County the free use of my first name only and picture in any published materials or promotions for this or future events.

Signature ___________________________________ Date _____________

Signature of Guardian* ___________________________ Date ____________

*All participants under age eighteen must have guardian sign.

Your name: ___________________________________________

Team Name: __________________________________________

OUR MISSION The Arc of Somerset County provides quality

services and advocacy for individuals with intellectual and developmental disabilities and

their families to support development and achievement at every stage of life.

HOW YOU CAN HELP Ask friends, co-workers and family members to support you and The Arc by collecting donations

using the enclosed form. You can even create your own personal or team fundraising page

online by visiting: www.fundraiser.fund

Be sure to click on The Arc of Somerset County’s Event Page

Your donations help support vital programs and services for the children an adults who we

serve who live with intellectual and developmental disabilities in Somerset County.

Achieve with us!

CONTACT INFORMATION

The Arc Foundation of Somerset County

141 South Main Street Manville, NJ 08835 Contact: Lisa Marie Phone: 908-658-3805

Fax: 908-658-3856 lisamariea@thearcofsomerset.org

www.thearcofsomerset.org

REGISTRATION TIMES RACE & WALK TIMES Race registration at 7:30 am Race begins at 8:30 am Walk registration begins at 8:30 am Walk begins at 10:00 am