ABOUT NAMI NAMI, the National Alliance on Mental Illness, is the nation’s largest grassroots mental health organization dedicated to building better lives for the millions of Americans affected by mental illness. NAMI advocates for access to services, treatment, supports and research. NAMI is steadfast in its commitment to raising awareness and building a community of hope for all of those in need. Located in Cincinnati, Ohio, NAMI of Southwest Ohio is dedicated to raising awareness and providing essential education, advocacy, and support group programs for people living with mental illness and their loved ones. NAMI of Southwest Ohio addresses the mental illness needs of our community, replaces stigma with understanding and helps thousands of families and individuals each year. NAMI of Southwest Ohio is a 501(c)(3) grassroots mental health organization. NAMI of Southwest Ohio 2015 NAMIWalks to End Mental Illness Date: Saturday, May 9, 2015 Distance: 5K Check-in: 9:00 a.m. Start Time: 10:00 a.m For more information about this event, please contact: Heather Turner [email protected] (513) 351-3500 Registration Form Walk Information Registration Form 2015 2015 All walkers must register for the walk. There is no registration fee for walking, but we do ask walkers to consider fundraising. Yes! I would like to register to walk with 2015 NAMIWalks To End Mental Illness! Name: Address: City, State, Zip: Date: May 9, 2015 Phone: Adult: Email: Yes/No Location: Sawyer Point NAMI Affiliate/State: Check-in time: 9 a.m. Team Name: Start time: 10 a.m. Total distance: 5 Kilometers (optional shorter route) Free ample parking Refreshments, music and fun! For more information, please contact: NAMI of Southwest Ohio 4790 Red Bank Expy., Suite 218 Cincinnati, OH 45227 (513) 351-3500 Child (Under 18): Yes/No Team Captain: Team Captains: To ensure accurate credit to your team’s total, we encourage you to fill in the team name and team captain lines on all registration forms and walker donor forms before you distribute them to your walkers. Thank you! Individual Walker Walker on a team Team Captain Walk day volunteer. Please call me. I cannot attend the walk. I have enclosed my donation in the amount of $_________________ to support NAMI. Please send __________________ extra brochures Each participant must sign below. I hereby waive all claims against NAMI, sponsors, or any personnel for any injury that I might suffer in this event. I attest that I am physically fit and prepared for this event. I grant full permission for organizers to use photographs of me and quotations from me in legitimate accounts and promotions of this event. _______ Yes, I accept the waiver. [email protected] Signature:________________________________________________________________ www.namiswoh.org Parent or Guardian:______________________________________________________ (if walker is under 18 years of age) Please turn in this Walker Registration Form to your Team Captain or mail to: NAMI of Southwest Ohio, 4790 Red Bank Expy. Suite 218, Cincinnati, OH 45227.
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