September 17, 2016 - Energy for Life Walks

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Benefits the United Mitochondrial Disease Foundation Pittsburgh, PA 15239 8085 Saltsburg Road, Suite 201 www.energyforlifewalk.org/detroit Sterling Heights, MI…
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Benefits the United Mitochondrial Disease Foundation Pittsburgh, PA 15239 8085 Saltsburg Road, Suite 201 www.energyforlifewalk.org/detroit Sterling Heights, MI Dodge Park information. Visit www.energyforlifewalk.org/detroit for more much more! Start your team today! refreshments, mitochondrial disease resources, and September 17, 2016 participants a fun-filled experience with entertainment, The Energy for Life: Detroit Walkathon offers all 1 Mile Walk and families affected by mitochondrial disease. Walkathon as we unite in support of those individuals Please join the UMDF for the Energy for Life: Detroit and raise money for research toward a cure. disease, we can all come together to spread the word someone you love, or someone you know is fighting this fighting mitochondrial disease in our area. Whether you, to raise awareness as well as support those who are energized to be able to reach out to the community Mitochondrial Disease Foundation is excited and The Southeast Detroit Michigan Chapter of the United W alk ... the A bout About Energy for Life... About mitochondrial disease... A bout the UMDF... The money raised through Energy for Life Walkathons Mitochondrial diseases occur when the mitochondria in a The United Mitochondrial Disease Foundation (UMDF) supports the UMDF mission by: person’s cells cannot convert food into life-sustaining energy. provides support, education, and hope for better treatments For many, it’s an inherited genetic condition. For others, and ultimately a cure for Mitochondrial Disease. ã Connecting world renowned experts in mitochondrial especially adults, the disease may be triggered by damaged medicine to affected families through various family mitochondria. The UMDF holds an annual symposium for professionals meetings and symposia and affected patients/families, coordinates support & Research tells us that one in every 200 people carries the educational activities across the nation through volunteers, ã Providing scholarships for families to attend the UMDF mutation that could develop into mitochondrial disease at and spreads awareness and education to the professional Mitochondrial Medicine Symposium some point in their life. We also know that mitochondrial medical community through our Grand Rounds program. dysfunction is at the core of many more common diseases The UMDF connects affected individuals/families. ã Providing educational resources for families and like Alzheimer’s, Parkinson’s, ALS, Autism Spectrum Disorders clinicians through UMDF Grand Rounds and some cancers. Since its inception in 1996, the UMDF has funded over $11 ã Provide support to all individuals regardless of million in research, making it the leading non-governmental There is no cure for mitochondrial disease - yet. diagnosis through informational packets, networking contributor of grants focused on mitochondrial disease. and educational opportunities UMDF Mission: To promote research and education for the ã Funding the best global biomedical research into the diagnosis, treatment, and cure of mitochondrial disorders and causes of and effective treatments for mitochondrial to provide support to affected individuals and families. disorders Energy For Life Walkathon Sat, September 17, 2016 R egistration F orm PLEASE PRINT CLEARLY IN BLUE OR BLACK INK USING CAPITAL LETTERS. PLEASE KEEP ALL WRITING INSIDE THE BOXES. Dodge Park Volunteer Registration: 8:00 am 40620 Utica Road Walker Registration: 9:00 am TEAM * WALK Office Use Only Sterling Heights, MI 48313 1 Mile Walk Start: 10:00 am LEADER LOCATION $ , . * TEAM Event NAME $ , . * I WALK IN Online HONOR/MEMORY OF G et I nvolved ! D onation T racker Join the Walk! Walker’s Name: ________________________________________ TITLE * FIRST MIDDLE Walk registration is free! Preregister on our website or sign up the day Team Name: ___________________________________________ (MR., MRS.) NAME INITIAL of the Walk. Collect money from your friends, family and co-workers In Honor/Memory of: ____________________________________ * LAST with the donations tracker to the right or ask them to make their NAME Amount Collected donation online! Cash * SUFFIX PROFESSIONAL 0. John Doe, 111 Redefine Hope Drive, Pittsburgh, PA 15239 , [email protected] $ 25 Check GENDER M F (SR., JR., III) DEGREE (MD, PhD) Cash Start a Team! 1. $ Check * EMAIL Cash Become a team captain and get your friends & family to walk with 2. $ Check ADDRESS you! It’s easy to start a team – visit www.energyforlifewalk.org/detroit Cash to begin. 3. $ Check Cash * HOME Step One: Sign up as a team with your friends, family, 4. $ Check ADDRESS Cash organization, or register as an individual participant. Use your 5. $ Check creativity to come up with a fun team name! * CITY * STATE Cash Step Two: Create your own fundraising website and personalize 6. $ Check DATE OF Cash BIRTH it with pictures and stories. Set a fundraising and team member $ Check * ZIP * HOME PHONE 7. M M D D Y Y Y Y goal for your team! Cash 8. $ Check Step Three: Utilize the tools on the Walker HQ to promote your Cash walk team! Use the email center to email everyone you know, 9. $ Check COMPANY/ Cash ORG NAME share with your friends on Facebook, and encourage your 10. $ Check followers on Twitter to join your walk team or donate! Cash COMPANY/ORG ADDRESS 11. $ Check Cash Donate to a Team! 12. $ Check CITY STATE Cash Donate to a specific team by visiting our website – go online and visit 13. $ Check www.energyforlifewalk.org/detroit, search for the walk team or team Cash ZIP WORK PHONE EXTENSION member and make your donation today! 14. $ Check Cash 15. $ Check I WANT TO MAKE A Donate to the Walk! Cash DONATION OF $ 16. $ Check , . You can still donate to the walk without selecting a specific team! Just Cash go to www.energyforlifewalk.org/detroit and click on ‘Donate to the 17. $ Check CREDIT CARD NUMBER EXPIRATION Cash Walk’ under the Visitors section! Or use the attached form to send 18. $ Check NAME your donation to the UMDF at UMDF, 8085 Saltsburg Road, Suite 201, Cash ON CARD Pittsburgh, PA 15239. 19. $ Check Cash 20. $ Check For myself and my executors and administrators, I hereby release the UMDF, the City of Sterling Heights, Dodge Park, any event sponsors and any event volunteers and each of their respective officers, employees, successors and assigns from any and all claims and damages arising out of any injury or condition that I may suffer as a result of participating in this event. Further, I TOTAL $ hereby grant full permission to any and all of the foregoing to use my photograph or any other record of the event for legitimate purposes.* Donation trackers can be mailed to the address below or presented on race day. Checks should be made payable to “UMDF”. Please attach an * PARTICIPANT / GUARDIAN SIGNATURE DATE additional donation tracker if necessary, or have friends and family visit www.energyforlifewalk.org/detroit for easy online pledge options. SIGN UP NOW ON YOUR PHONE! Scan this QR pattern on your smartphone and register or Energy for Life Walkathon Detroit Contact Information: * REQUIRED FIELDS donate. Don’t have a QR reader app? You can download - Detroit c/o UMDF Stephanie Tomlinson-Perron one free from the App Store. Don’t have a smartphone? 8085 Saltsburg Road, Suite 201 [email protected] Register online at: www.energyforlifewalk.org/detroit. Pittsburgh, PA 15239 Isabel Taylor, Co-Chair [email protected]
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