Fall Rally Day 2015 Saturday, October 24, 2015

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Page 1 of 12 Fall Rally Day 2015 Saturday, October 24, 2015 TOPS The Wonderful Wizard of Weight loss Follow the Yellow Brick Road to the Wizard of OZ atmosphere in the Owego Treadway Inn 1100 State Route 17C Owego, NY 13827 (607) 687-4500 Exit 65 from Rte.17E Seating available in the registration area. Doors to The Starfire Room will open at 9:00am.. Festivities in The Land of OZ will begin at 10:00am. Lots of time to find your table, buy basket-raffle and 50-25-25 tickets. And since The Wicked Witch is dead you will enjoy a name tag contest, table centerpiece contest and theme-dressed participant contest, The Wizard will help with the recognition of KOPS alumni, Summer Best Losers, Men in TOPS, Baggy Clothes, Teens in TOPS, State Royalty Young-At-Heart Tops, State Division winners, Century Medallion winners, Weight Loss Challenge winners, and Chapter No Gain Weeks:. And Yes, my pretties, you Munchkins will have a Sit-down, served LUNCH in Emerald City: House Garden Salad, Rolls and Butter, Choice of Marinated Chicken OR Pasta Primavera with Red Sauce, Oven Roasted Potatoes, Vegetable Medley, Beverage service and Pie. All of the above for a mere $32.00 per person. You can barely buy a bunch of poppies for that amount not to mention courage, a heart or a brain. Meal REGISTRATION FORMS and registration forms for all other events are on the pages that follow. ALL SHOULD BE SUBMITTED AT THE SAME TIME. LEADERS: Printing a copy of THIS page for each of your members would be very helpful to them. Go on to next page..

Page 2 of 12 Event Notes Attention Chapter Leaders: Please encourage your TOPS and KOPS members to participate in as many events as possible. That will make the day that much more interesting and fun for all and will make The Wizard happy also! Please submit the appropriate Event Forms at the same time as submitting the General Registration form so that we may have adequate time to prepare cards and script entries. Thank you for your help and cooperation. There will be chances for Raffle Baskets and a 50-25-25 raffle. We are asking that all chapters provide name tags for those attending Rally in your chapter. We will also have a name tag contest this year so please bring one name tag without your chapter # or name on the front for judging. Please write both of those items ON THE BACK of 1 name tag to be used for posting on the bulletin board. Name tags not following these guidelines will be disqualified. We will have a centerpiece contest. Please bring a Wizard of OZ theme centerpiece. Use your creativity. There will be judging for Individual & Chapter Wizard of OZ theme-costumed and / or headwear participants. (Dorothy, Toto, Wizard, Tinman, Scarecrow, Lion, Glinda, Wicked Witch, Munchkin, Flying Monkey, Poppy, Auntie Em, Farmhand, etc.) Join the Baggy Clothes Parade. See separate sheet attached for guidelines. Join us for a day of fun in OZ

Page 3 of 12 Rally Day 2015 Registration Form TOPS..The Wonderful Wizard of Weight Loss Saturday, October 24, 2015 Please notify attendees that doors to the STARFIRE Room at The Owego Treadway Inn will open at 9:00am for the 10:00am start of the event. Seating will be available in The Waiting Area near the Starfire Room for early arrivals. In order to allow sufficient room for servers and remain within fire code, tables designed for 8 people will seat a maximum of 8 people. Tables designed for 10 people will seat a maximum of 10 people. The DEADLINE DATE FOR ALL REGISTRATIONS is Friday, September 26, 2015. Registrations received by Friday, September 18 will be put into a lottery and seated as they are drawn. This gives all earlybirds an equal opportunity for prime seating. Registrations received between Saturday, September 19 and Friday September 26 will be seated in the order in which they are received. Registrations received AFTER the Deadline will be seated at the discretion of the host area captain. Registration is $32.00 per person. (Covers room rental, sit-down lunch, awards, certificates, charms, sound etc.. Complete fee must be paid for any portion of the day attended. Send this form along with all event registration forms to: Daniel Bunce 21 Moorehaven Drive Bath, NY 14810 ```` Send Chapter Checks for total amount with 2 signatures to: Cori Slocum 12 Pershing Drive Fulton, NY 13069 ```` Chapter Number Location Select 1 entrée choice. (If no selection is made, Marinated Chicken will be served! Go on to next page

Page 4 of 12 Go on to next

Page 5 of 12 KOPS Alumni All KOPS, Alumni and Reinstated, will be honored for the length of their status whether months or years. Location Total Years as KOPS Less than 1 year total months Total Years as KOPS Less than 1 year total months Total Years as KOPS Less than 1 year total months Total Years as KOPS Less than 1 year total months Total Years as KOPS Less than 1 year total months

Page 6 of 12 Summer s Best Loser The chapter member who has lost or maintained their weight from the last weigh-in in May through the last weigh-in on or before August 31 st and attends Rally Day will be recognized. There will be 2 recognitions from each chapter: Summer Best Loser in Division 1 through 8 and Division 9. Chapter Best Loser and Overall Best Loser will receive special recognition. Location Chapter Best Loser for Divisions 1-8 Name Pounds Lost Chapter Best Loser for Division 9 Name Pounds Lost ~~~~~~~~~~~~~~~~~~~~~~~~ Cut Here~~~~~~~~~~~~~~~~~~~~~~~~~ Men-in-TOPS Location Name Name Name Name Name Name Go on to next

Page 7 of 12 Baggy Clothes No minimum weight loss just a smaller clothes size. Location From size To size From size To size From size To size From size To size From size To size

Page 8 of 12 Teens-in-TOPS Location

Page 9 of 12 Young-at-Heart Special recognition will be given to TOPS members who are 70-years of age or older. Location Years in TOPS Years as KOPS (if applicable) Years in TOPS Years as KOPS (if applicable) Years in TOPS Years as KOPS (if applicable) Years in TOPS Years as KOPS (if applicable) Years in TOPS Years as KOPS (if applicable) Years in TOPS Years as KOPS (if applicable)

Page 10 of 12 State Royalty (Past or Present) Location Century Medallion Location State Division Winner(s) Location

Page 11 of 12 Weight Loss Challenge Those who have lost or maintained weight from the first weigh-in after October 26 th 2014 to weigh-in on or before August 30 th, 2015. Location Name Pounds Lost or Maintain Name Pounds Lost or Maintain

Page 12 of 12 Chapter No-Gain Weeks Enter the information below for each week that your chapter had a No Gain Week since the first weigh-in after October 26 th, 2014 until August 30 th, 2015. TOPS must have a loss or maintain. KOPS must be in leeway (no more than 3 pounds above goal nor 7 pounds below goal). (Verify with weight recorder) (Please print clearly) Location DATE # OF MEMBERS PRESENT NET LOSS