Race for MP's Miracle 5k/8k Challenge

Race for MP’s Miracle 5k/8k Challenge!!! Help save the lives of children with LINCL! Saturday, June 19, 2010 5k to start 7:30 AM 8k to start 8:30 AM Take the Challenge and run both back-to-back!!! • Race on the brand new Indian Head Rail Trail in Indian Head, MD • Flat – scenic – run through Mattawoman Environmental Area • Run either the 5k, the 8k, or take the 13k challenge and race both! • Goodie bags to all participants and prizes for winners! • Packet pickup starts at 6:30 AM at Diffenbach Court Park Pavilion - Diffenbach Court Park, Indian Head, MD 20640 • 100% of the proceeds to benefit Mary Payton’s Miracle • Sign up using mail in form or through Active.com: http://www.active.com/running/indian-head-md/run-for-mps-miracle-5k8k-challenge-2010 • Directions: From DC – take exit 3 from I-495, Route 210S. Travel south about 20 miles to Indian Head, MD. From Waldorf, MD – take Rt 228 West. Turn left on Rt. 210S. Travel south about 10 miles to Indian Head, MD. Diffenbach Court Park is on the right just before entrance to Indian Head Naval Station. •Sponsors: www.hbservices.biz Home Improvements www.wholehealthmassage.com Massage Therapy www.qualprnt.com Quality Printing Race for MP’s Miracle 5k/8k Challenge • REGISTRATION FORM Make checks payable to Mary Payton’s Miracle c/o Joshua Caldwell • 16708 Livingston Rd • Accokeek MD 20607 By entering this event, I agree, warrant and covenant as follows: I know that running is a potentially hazardous activity. I should not enter or run in competitive runs unless I am medically able and properly trained. I agree to abide by any decision of a race official relative to my ability to safely complete the run. I assume all risks associated with running in this race including, but not limited to, falls, contact with other participants, the effects of weather, including high heat and/or humidity, the conditions of the road and traffic on the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your acceptance of my application, I, for myself and anyone entitled to act on my behalf, waive and release BDRSA, Charles County Government, USATF, Joshua and Elizabeth Caldwell, and all sponsors of this event, their directors, officers, employees, agents, representatives, and successors from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I acknowledge that the application fee shall be non-refundable. I agree that the organizers of this event may use my name and likeness for publicity purposes. Signature ______________________________________ (parent or guardian if under 18) Name ____________________________________________________________________________________ Gender [___] (M | F) Age on 6/19/2010 [__ __] DOB [__ __ - __ __ - __ __ __ __] Address _________________________________________________________________________________ City ST ZIP _____________________________________________________________________________ E-mail __________________________________________________________________________________ Phone __ __ __-__ __ __-__ __ __ __ T-shirt (S | M | L | XL | XXL) Enclosed is my entry fee, payable to Mary Payton’s Miracle Before May 1st, 2010 [__] 5k-$30 [__] 8k-$35 [__] 5k/8k Challenge-$45 After May 1st, 2010 [__] 5k-$35 [__] 8k-$40 [__] 5k/8k Challenge-$50 [__] Enclosed is an additional tax-deductible donation of $__________ made out to Mary Payton’s Miracle - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Information about Mary Payton's Miracle Foundation Mary Payton’s Miracle Foundation was formed in March of 2008 in honor of Mary Payton Vigil, a resident of Mandeville, Louisiana. Mary Payton is a beautiful 7 year old girl who was diagnosed at the end of January 2008 with Late Infantile Neuronal Ceroid Lipofuscinosis (LINCL), sometimes referred to as Batten Disease (www.bdsra.org). Over time, children affected by LINCL suffer mental impairment, worsening seizures and progressive loss of sight and motor skills. Eventually children become blind, bedridden and are unable to communicate. Unfortunately at present, it is always fatal. It usually ends in death between the ages of 8 and 12. It is a rare disorder, affecting only about 450 children in the country. Mary Payton is still fighting with everything she has, but her chances depend on your support. There is hope! Researchers at Cornell University have developed a gene replacement therapy that the FDA has approved. This treatment has proven to stop the progression of the disease and in some cases has shown children regaining function they have lost. While clinical trials are scheduled to start soon, these will start too late for Mary Payton and other children like her. The researchers have agreed to provide treatment for these children when private funds can be raised! The cost of treatment is approximately 2.5 million dollars to treat 5 desperate children. We are racing against the clock to raise this money seeing that the loss of function in these children happens so quickly. A cure is finally in sight! Make sure Mary Payton doesn’t miss this Miracle of an opportunity!