JINGLE ALL THE WAY. 11th ANNUAL JINGLE BELL RUN 5K AND ROTARY PANCAKE DINNER. December 4, 2015 at the Lake Nona YMCA

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2 JINGLE ALL THE WAY 11th ANNUAL JINGLE BELL RUN 5K AND ROTARY PANCAKE DINNER JINGLE BELL RUN 5K WHO: WHEN: REGISTRATION: Families and individuals can run, walk, bike or scooter their way through the 5K course. This in not a timed event and everyone is welcome baby strollers, rollerbladers, and bikers. December 4, 2015 at the Lake Nona YMCA Now through December 4th at the Lake Nona YMCA 5K Walk/Run through November 30th Individual $15 Family $25 December 1st December 3rd Individual $20 Family $30 Day of race, December 4th Individual $25 Family $35 GOODIES: BELL PICK UP: Each race participant will receive a free jingle bell to carry the sound of the holidays throughout the course. The first 300 participants will receive an event T-shirt. Spread the holiday cheer and wear your most festive attire as you run through the decorated Northlake Park Neighborhood. After the run, vote on the house with the best decorations and join us for a post race celebration and award ceremony. Pancake dinner is included for all race participants. Thursday, Dec. 3 from 4-7pm or Friday, Dec. 4th from 12-6:15pm. Race start time is 6:30pm at Northlake Park Marquee on December 4th. THE ROTARY CLUB OF LAKE NONA PANCAKE DINNER WITH SANTA WHAT: Enjoy breakfast for dinner with your family, community, Santa and Santa s helpers. Pancakes, sausage and juice will be served. DONATION: $5 minimum donation per person for pancake dinner only DATE: December 4, 2015 SEATING : Opens at 5:30PM ACTIVITIES: Pictures with Santa, Children s Holiday Craft, games and activities, special entertainment and face painting. REGISTRATION: BENEFITING: Now through December 4th at the Lake Nona YMCA Monies collected to benefit the Lake Nona YMCA Scholarship Campaign JINGLE BELL RUN 5K AND ROTARY PANCAKE DINNER Friday, December 4, :30PM At the Lake Nona YMCA

3 10th ANNUAL JINGLE BELL RUN 5K AND ROTARY PANCAKE DINNER Friday, December 4, 2015 at 6:30 p.m. Lake Nona YMCA: 9055 Northlake Parkway, Orlando, FL Presented by: Benefiting: YMCA ANNUAL SCHOLARSHIP CAMPAIGN 5K Walk/Run through November 30th: Individual $15 Family $25 December 1st December 3rd: Individual $20 Family $30 Day of race, December 4th: Individual $25 Family $35 Pancake Dinner Only: Individual $5 Family $20 Name: Date of Birth: Member: Yes or No Address: Phone Number: Address: Shirt Size: Emergency Contact Name: Emergency Phone: Other Participating Family Members: 1. Age: Shirt Size: 2. Age: Shirt Size: 3. Age: Shirt Size: 4. Age: Shirt Size: 5. Age: Shirt Size: 6. Age: Shirt Size: Waiver: I hereby state that I am physically capable of safe participation in the Lake Nona YMCA Jingle Bell Family Fun Run. I understand and acknowledge that participation in the 5k is a privilege and release the YMCA, its agents, contract services, servants and employees from all liability for any injury, illness, loss or damage connected in any way to myself through my participation in this program whether on or off YMCA property. I also authorize the YMCA to obtain medical treatment for me in the event on an emergency. I give my permission to the Central Florida YMCA to use, without limitation or obligation, photographs, film footage, or tape recordings which may include my image or voice for the purpose of promoting or interpreting Central Florida YMCA programs. Signature (1st Adult) Signature (2nd Adult) Date Date

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5 10th ANNUAL JINGLE BELL RUN 5K AND ROTARY PANCAKE DINNER EVENT SPONSOR FORM DONOR INFORMATION Donor Name: Recognition Name: Address: Phone Number: Preferred Mailing Address: SPONSORSHIP LEVEL $100 $250 $500 $1,000 and up $100 level: Vendor booth at the event. $250-$499: Vendor booth at the event and logo on event banner and t-shirt. $500-$999: Vendor booth at the event, logo on event banner and t-shirt, yard sign with your logo on the race course. $1,000 and up: Vendor booth at the event, logo on event banner and t-shirt, yard sign with your logo on the race course, social media promotion and speaking time at the event. PAYMENT OPTIONS Check (Please make payable to the YMCA of Central Florida) Credit Card Card Type: Name as it Appears on Card: Card #: Exp. Date: Security Code: Donor Signature: Date:

6 10th ANNUAL JINGLE BELL RUN 5K AND ROTARY PANCAKE DINNER EVENT VOLUNTEER FORM VOLUNTEER INFORMATION Name: Address: Address: Phone Number: Company Name: Title: VOLUNTEER INTERESTS (Circle all that you would be interested in) Event Check in/packet Pick up Race Course/traffic control Food/cafeteria help Event Set up/ clean up Children s activities help Decorations help All event volunteers will need to be available on Wednesday, December 2nd for a volunteer meeting at 6pm. Event volunteer help will be needed on Thursday, December 3rd for packet pick up as well as help on the day of the event starting at 3pm for event set up and ending at 9pm for event clean up. Please list the days and times you are available to help. Volunteer Signature: Date: For more information about being an event volunteer

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