1. ACQUIRED BRAIN INJURY
NETWORK OF PENNSYLVANIA
InfoLine: 215.699.2139
Toll-Free: 1.800.516.8052
info@abin-pa.org, www.abin-pa.org
…..dedicated to increasing public awareness
about acquired brain injury and to providing
support, education, information, advocacy
and other services for individuals with
acquired brain injury and their families.
InfoLine: Support, Resources.
Problem-solving. 478 calls in 2014.
Advocacy: Individual. Government
Affairs. Also thru our Nonprofit
Coalitions & Collaboratives.
Support Group: 4th Mondays at
Mercy Suburban Hospital on DeKalb
near Germantown Pike, Norristown.
Education: Conferences.
Presentations. Staff Training.
Literature: Free Monthly
Newsletter to 1,350. Booklets and
37 Brochures.
Website: Newsletter Archives &
Sign-Up. “Our Stories.” Print
Literature, Resource List by Your
Birthdate. Rehab Facility & Support
Group Searches. Videos.
Empowering Survivors & Families
to rebuild their lives since 2007.
ABIN-PA is a 501(c)(3) Pennsylvania nonprofit
corporation. Contributions are tax deductible. The
official registration and financial information of the
Acquired Brain Injury Network of Pennsylvania,
Inc., may be obtained from the Pennsylvania
Department of State by calling toll free, within
Pennsylvania, 1 (800) 732.0999. Registration does
not imply endorsement.
AcquiredBrainInjury
NetworkofPA
2275GlenviewDrive
LansdalePA19446
Acquired Brain Injury Network's
Second Annual
2016
BOO-TIFUL
BRAINS
HALLOWEEN
5K TIMED RUN/WALK &
1 MILE FUN RUN/WALK
Saturday, October 29
10:00 AM START
NORRISTOWN FARM PARK
2500 Upper Farm Road
East Norriton PA 19403
Costumes encouraged for all!
T-Shirts - Raffles
Awards - Refreshments
5K Timing - Pretzel City Sports
Acquired Brain Injury Network
InfoLine: 215.699.2139
Toll-Free: 1.800.516.8052
info@abin-pa.org, www.abin-pa.org
NONPROFITORG
USPOSTAGEPAID
LANSDALEPA
PERMITNO.613
ADDRESSSERVICEREQUESTED
2. ABIN-PA
BOO-tiful BRAINS
Halloween
5K Timed Run/Walk &
1 Mile Fun Run/Walk
October 29th, 2016
Norristown Farm Park
2500 Upper Farm Road
East Norriton PA 19403
610.270.0215
www.montcopa.org/norristownfarmpark
RAIN OR SHINE:
No refunds if cancelled for
unsafe conditions.
Schedule:
9:00 am Check-in & race day sign-up
at the Pavilion near Parking Lot #2
10:00 am 5K Timed Run/Walk Starts
10:40 am 1 Mile Fun Run/Walk Starts
11:00 am Awards and Raffles at the
Pavilion near Parking Lot #2
Start & Finish
Intersecting road and trail opposite the
Pavilion near Parking Lot #2.
5K Run/Walk Age Groups
(Male & Female)
17 and under
18-29
30-39, 40-49
50-59, 60-69, 70+
Registration
Use credit card online at
www.pretzelcitysports.com
or mail check with form.
Received by October 7th - $20
(for guaranteed T-shirt)
Received thru October 26 - $25
Paid October 27 to Race Day - $30
T-Shirts
Guaranteed for Early
Registrations received by
October 7th.
Sponsorship Forms
Raise donations from your sponsors as
an Individual or as a Team. Print from
www.abin-pa.org or call 267-263-2651.
Mail form and checks to ABIN-PA, 2275
Glenview Drive, Lansdale PA 19446 by
October 21, 2016.
Awards
5K Timed Run/Walk - Male & Female
Certificates & Ribbons for 1st, 2nd &
3rd Place by Age Groups & Overall
Fundraisers - Certificates for Highest
Donations Collected by Best
Individual & Best Team.
Raffles
General Raffle - Free Ticket for Each
Participant.
Special Raffle Tickets - Available for Sale
to Those Present at Event.
MUST BE PRESENT TO WIN.
RegisterbyMailorOnline
SponsorshipForms:Printfromwww.abin-pa.org.ReturnbyOctober21toqualifyforfundraisingawards.
OnlineRegistration:gotowww.pretzelcitysports.comthruWednesday,October26.
Mail-inRegistration:Oneformforeachperson.MakecheckpayabletoABIN-PA&mailto:ABIN-PA,2275Glenview
Drive,LansdalePA19446.ForguaranteedT-shirt,EarlyRegistrationmustbereceivedbyOctober7th.
SELECTADULTSIZE:S__M__L__XL__XXL__.SELECTEVENT:5KTimedRun/Walk__or1MileFunRun/Walk__.
SELECTAMOUNT:EarlyRegistrationbyOct.7$20___Oct.8-26$25___Oct.27-29$30___.Check#_________.
NAME_______________________________ADDRESS______________________________Ageon10/29___
CITY________________________STATE___ZIP_______PHONE_____________________Birthdate________
EMAIL___________________________________Male___Female___TeamName?____________________
Waiver/Release:IherebywaiveallclaimsagainstABIN-PA,theracedirector,raceofficialsandvolunteers,anyandallsponsors,NorristownFarmPark,EastNorriton
TownshipandMontgomeryCountyandthoseintheiremploy,andalltheirrepresentativesandsuccessorsfromanyinjuryorliabilityImightsufferinthisevent.Iattest
thatIamphysicallyfitandpreparedforthisevent.Iassumeallrisksassociatedwithrunning,walking,volunteering,attendingorparticipatinginthiseventincluding,but
notlimitedto:falls,contactwithotherparticipants;theeffectsoftheweather;andtheconditionsofthetrailorroad;allsuchrisksbeingknownandappreciatedbyme.I
grantfullpermissionfororganizerstousemynameand/orpicturesinanyandalllegitimateaccountsandpromotionsofthisevent.
SignatureX__________________________________(Parent/guardianifunder18yearsold.)Date_______
