2008 Childhood Obesity Walk
January 24, 2009

REGISTRATION FORM

Join Olympians of all distinction: Junior, Senior, Para, Special, and Elite to fight childhood obesity
All donations are directed to youth participates of Sports Extravaganza, Inc., non profit organization

 

First Name

Last Name

Company Name

Address

City

State

Zip

Contact Phone

Email

I am a Participant

 Yes          No

I would like to sponsor a friend

 Yes          No

Name of Friend / Friends

Team Name

I regret I 'm unable to participate or have no one to sponsor.   I would like to make a donation only instead.   YES   (leave blank if this doesn't apply) 

Pledge/Donation Amount

 $

I have read, understand and agree to the terms

After you register, you will be prompted to make your Pledge/Donation.


Facts

12% of Arizona kids are overweight.  Of children diagnosed with type 2 diabetes, 85% are obese (American Academy of Pediatrics, 2000c).
Solution

Get kids exercising.  Implement healthy eating habits
Results

Healthier Kids and Higher Self Esteem!