Together, We Can End Alzheimer's Disease

TOGETHER, WE CAN END ALZHEIMER’S DISEASE.

1. Start a team. Sign up as a Team Captain and form a team. You can also join an existing team or register as an individual. The Alzheimer’s Association® provides coaching and tools to help you meet your fundraising and recruitment goals.

2. Recruit. Ask friends, family and co-workers to join your team or start their own.

3. Raise awareness and funds. Our fundraising tools make it easy to spread the word and collect donations. Raise $100 or more to receive the official 2019 Walk to End Alzheimer’s® T-shirt. All funds raised benefit the Association’s care, support and research efforts.

4. Walk with us. Come together with your community to rally around the Alzheimer’s cause.

WALK_19_173 | 19-150 Alzheimer’s Association

441 W. Kirkpatrick St.

Syracuse, NY 13204 JOIN THE FIGHT FOR ALZHEIMER’S FIRST SURVIVOR.

At Walk to End Alzheimer’s®, participants carry flowers representing their connection to Alzheimer’s — a disease that currently has no cure. But what if one day there was a white flower for Alzheimer’s first survivor? By walking together, we can help make that beautiful day happen.

Join us at Walk to End Alzheimer’s®, the world’s largest event to raise awareness and funds for Alzheimer’s care, support and research. Each year, more than 500,000 people come together in over 600 communities to advance the fight against the disease.

“Our family walks every year, to honor my father, one of the brave souls that has had to face this horrible disease head on. We do it to show him how much we love and appreciate his support all these years, and to make sure he knows we will never give up until there is a cure!” — Jeannie Atkinson Watertown/North Country, NY Committee Chair 2019 NATIONAL PRESENTING SPONSOR

2019 NATIONAL DIAMOND TEAMS

2019 NATIONAL PLATINUM TEAMS

2019 CENTRAL NEW YORK EVENTS WATERTOWN/NORTH COUNTRY, NY Saturday, September 14, 2019 Sackets Harbor Central School, Sackets Harbor Registration begins at 9 a.m. Opening Ceremony at 10 a.m. Walk at 10:30 a.m. School rules prohibit pets inside its buildings

ITHACA/CORTLAND, NY Sunday, September 15, 2019 Tompkins Cortland Community College Athletic Center Registration begins at Noon Opening Ceremony at 1 p.m. Walk at 1:30 p.m. College rules prohibit pets on campus

SYRACUSE, NY Sunday, September 29, 2019 Onondaga Community College SRC Arena

Registration begins at 11 a.m. Opening Ceremony at 1 p.m. Walk at 1:30 p.m. College rules prohibit pets inside campus buildings Presented by New for ‘19: Walker Wednesday Webinars Join us for our monthly interactive webinar series on the third Wednesday of each month at Noon. Give us 30 minutes and we’ll make you a fundraising powerhouse. Upcoming topics include:

July 17: Fundraising on social media August 21: Offline fundraising techniques

Email [email protected] to join. We’ll post recordings of these and previous webinars on our YouTube channel: youtube.com/alzcny.

Matching Gifts Double your efforts! Many companies have programs where each dollar donated by an employee is matched at 50 cents, $1 or $2 by the employer. AXA Advisors, Bank of America, Key Bank, National Grid, Verizon...they are just some of the companies that take part. Find out if you or someone you know works for a matching gift company by visiting www.matchinggifts.com/alz.

Fundraise on Facebook Social media is a powerful tool in fundraising and you can easily connect your Participant Center to Facebook. 1. Register at alz.org/walk 2. Go to your Participant Center 3. Click the Connect Fundraiser to Facebook option from the dashboard or Social Media page. 4. Follow the prompts to sign into Facebook, install the Alzheimer’s Association app and allow it to access your page.

This is the only way to track funds raised for Walk on Facebook. Starting a Facebook Fundraiser and raising money does not count toward your Walk fundraising totals. WALK TO END ALZHEIMER’S® REGISTRATION FORM Select the Walk to End Alzheimer’s® that you plan to attend:  Watertown/North Country, NY (Sept. 14)  Ithaca/Cortland, NY (Sept. 15)  Syracuse, NY (Sept. 29) Complete the registration form in black or dark blue ink. You can also register online at www.alz.org/walk.

I am a  team captain  team member  individual walker My goal is to raise $______to help end Alzheimer’s disease. The recommended minimum goal is $225 Your Team Name

First name Mail this form back to us so we can keep you up to date on events and news about Walk to Last name End Alzheimer’s®.

Mail it to: Alzheimer’s Association, Address 441 W. Kirkpatrick St., Syracuse, NY 13204

City

State Zip

Phone (Day) Phone (Evening) Phone (Day) Phone (Evening)

Email address

Company name

Job title

Please help the Alzheimer’s Association better serve our community by completing the following:

Gender  Male  Female  I prefer not to answer Birthdate M M D D Y Y Y Y

Choose one  African-American/Black  American Indian/Alaskan Native  Asian  Caucasian/White  Hispanic/Latino  Native Hawaiian/Other Pacific Islander  Two or more races  Other race  I prefer not to answer

Please select your highest level of education  Less than HS diploma  HS graduate  Some college  Bachelor degree  Post/Professional degree  No answer

T-shirt size  Small  Medium  Large  X-Large  XX-Large  XXX-Large

How did you hear about this year’s Walk?  Television Advertisement  Radio Advertisement  Print Advertisement  Web Advertisement  Billboard  Brochure in my community  I was recruited at a community event  I received information in the mail  Email from Alzheimer’s Association  Alzheimer’s Association Website  Facebook  Twitter  Family  Friend  Coworker  My company  Other ______

How many years (including this year) have you been participating in Walk? ______Please help the Alzheimer’s Association better serve our community by completing the following:

Gender  Male  Female  I prefer not to answer Birthdate

Please select your highest level of education  Less than HS diploma  HS graduate  Some college  Bachelor degree  Post/Professional degree  No answer

T-shirt size  Small  Medium  Large  X-Large  XX-Large  XXX-Large

How many years (including this year) have you been participating in Walk? ______

What is your closest connection to the cause?  I am living with Alzheimer’s or dementia  I have lost someone to Alzheimer’s  I prefer not to answer  I am supporting or caring for someone living with  I don’t have a close connection but support the cause Alzheimer’s and a vision of a world without Alzheimer’s

I’m taking the first step by supporting the Alzheimer’s Association. Enclosed is my personal donation of:  $125  $75  $50 To make a credit card donation, please visit www.alz.org/walk  Other ______

ASSUMPTION OF RISK, RELEASE AND PERMISSION: REQUIRED FOR PARTICIPATION Walk to End Alzheimer’s® involves walking – an activity which may include risks such as, but not limited to, falls, interaction with other participants, effects of weather, traffic and conditions of the road. In consideration of being allowed to participate in this event, I hereby expressly assume all risks, including bodily and personal injury, death, property loss or other damages of any kind arising in any way out of my attendance or participation in the Walk to End Alzheimer’s® and related activities. It is my responsibility to dress appropriately. Although route maps, rest stops, refreshments and other assistance may be made available during this event, I am solely responsible for my own health and safety. I represent that I am physically fit and able to attend or participate in this event. I hereby for myself, my heirs, executors and administrators, release, discharge and agree not to sue Alzheimer’s Association, its chapters, their respective officers, directors, volunteers, employees, sponsors and agents, from any and all liability, claims, demands and causes of action whatsoever, arising out of my participation in or attendance at this event and related activities – whether resulting from the negligence of any of the above or from any other cause. I agree that my assumption of risk and release hereunder shall be as broad and inclusive as is permitted under applicable law. If any portion of this agreement is held invalid, the remainder shall continue in full force and effect. I grant full permission in perpetuity to the organizers of this event to use, reuse, publish and republish my name and image as a participant in the event in photographs, video or other recordings. I have read, understand and agree to the terms of this agreement. If Participant is a minor or acts in accordance with a legal guardian, the parent or guardian must sign and agree to the below: I am the parent and/or legal guardian of Participant, and I hereby consent to his/her participation. I have read the foregoing agreement, and I hereby agree on behalf of myself and Participant to its terms.

Signature ______Date ______WALK TO END ALZHEIMER’S® CONTRIBUTION FORM Select the Walk to End Alzheimer’s® that you plan to attend:  Watertown/North Country, NY (Sept. 14)  Ithaca/Cortland, NY (Sept. 15)  Syracuse, NY (Sept. 29)

Make checks payable to the Alzheimer’s Association | Copy this form for additional donations or email us at [email protected] You may also collect donations online: www.alz.org/walk Name

Team name

Address

City State Zip

Phone (Day) Phone (Evening) Email

My fundraising goal

DONATION CONTRIBUTOR’S NAMES CHECK # The Alzheimer’s Association RECEIVED is the only organization in Kick off your fundraising efforts by making the first donation! Central New York committed 1. $ to supporting individuals with a form of dementia and their 2. caregivers, and finding a cure. Your donations make our work 3. possible.

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20. The Alzheimer’s Association is the only organization in Kick off your fundraising efforts by making the first donation! Central New York committed 1. $ to supporting individuals with a form of dementia and their 2. caregivers, and finding a cure. Your donations make our work 3. possible.

4. $10 5. Provides 15 minutes of telephone support on our 24-Hour Helpline 6. to a person newly diagnosed with Alzheimer’s or a caregiver in need of 7. assistance. 8. $50 9. Offers a family peace of mind with one-year of our MedicAlert+ 10. SafeReturn identification and safety service. 11.

12. $100 Allows us to provide a care consultation between a dementia 13. care expert and a family dealing with a diagnosis of Alzheimer’s or other 14. dementia.

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12. Allows us to provide a care consultation between a dementia 13. care expert and a family dealing with a diagnosis of Alzheimer’s or other 14. dementia.

15. $250 16. Enables us to provide an education program free of charge to the 17. general public at a library, church or community center. 18. Learn more about our programs 19. and services by visiting www.alz.org/cny 20.

Online Donations Total Donations Subtotal

$ $ Matching gift MATCHING GIFTS COULD DOUBLE YOUR MONEY! Call 607.330.1647 (Ithaca/Cortland), 315.472.4201 Total enclosed (Syracuse) or 315.782.8755 (Watertown) or email [email protected] for more information. Office use only