National Federation of the Blind of Alabama

Live the life you want! Changing what it means to be blind!

Save the Date: Saturday, April 22, 2017

Tamika Williams

President NFB of Alabama - Mobile Chapter

6060 Southbend Dr. N.

Mobile, AL 36619

Phone: (251) 605-7882

Email: [email protected]

Raising Expectations “Live the Life You Want”

Mobile, AL National Federation of the Blind-Mobile Chapter’s Raising Expectations “Live the Life You Want” Walk is set to kick off on University of South Alabama’s campus on Saturday, April 22. The 1st Annual Raising Expectations “Live the Life You Want” Fundraiser walk will see hundreds of walkers circle the USA Intramural track and enjoy pre and post-event refreshments and entertainment at the USA SGA Pavilion located at 6450 John Counts Dr. Mobile, AL 36688. All proceeds from the walk will help nonprofit organization National Federation of the Blind-Mobile chapter provide education, training, and advocacy for members who are blind and visually impaired.

“Now more than ever our community’s support is essential because the funds raised will aid our efforts to not only nurture and educate blind consumers by ensuring they receive the opportunity to maximize their potential, but also to educate the public about blindness because blindness is only one of our many characteristics, and it does not define us or our future,” said NFB-Mobile chapter Secretary and Certified Vision Rehabilitation Therapist, Tiffany Moore.


The event starts at 9:00 am sharp, check in and registration begins at 8:00. Walk T-Shirts will be available to registered participants. Walkers will receive free gift bags and have the chance to win prizes all while supporting the efforts of blind people in our community. Walking teams, those with strollers and wheelchair participants are all welcome. Drink and snack stations will be provided along the track. All children age 5 and under walk free. For more information use the contact information above. To sign up and help local NFB members please visit https://www.eventbrite.com/o/national-federation-of-the-blind-mobile-chapter-12854661128


The NFB was founded in 1940 by Jacobus tenBroek, and is the largest consumer organization of the blind in America. The NFB ultimate goal is to help blind people achieve self-confidence and self-respect, and to completely integrate the blind into society on the basis of equality. 


Please find below the registration form.  You can also follow this link for a Word version of the registration form. 


Raising Expectations “Live the Life You Want”

Walk-A-Thon Registration Form

Saturday, April 22, 2017

Please complete a form for each attendee; however, you can pay for multiple attendees with one check/money order.

Name_____________________________________________ Sex______Age_________
Address ________________________________________________________________
City, State Zip ___________________________________________________________
Phone ___________________________    E-mail _______________________________
SHIRT SIZE (circle One)       SM         M        L       XL    XXL______3XL____4XL_______5XL  NONE

____Youth____ or ____Adult____
Name of affiliation of Club or Team (if applicable) _______________________________________

Payment                             
Please note that T-shirts will not be guaranteed after Deadline of April 1, 2017. If this form is filled out on or after April 2, 2017 please check registration (not pre-registration)

 _____Adult 16 and older pre-registration with T-Shirt until 4/1/17                               $20.00
 _____Adult pre-Registration without T-Shirt $15.00
 _____Youth 6-15 Pre-registration with T-shirt $15.00 until 04/01/2017   
 _____Youth 6-15 Pre-registration without T-shirt $10.00

_____Adult registration (as of 04/02/2017)

_____Youth Registration (as of 04/02/2017)

                   

_____Kids-(5 & under) Free
                                               

_____Enclosed is my check/ money order for $_________ payable to National Federation of the Blind

Along with your completed Registration Form, Please make checks and money order payable to:

National Federation of the Blind of Alabama – Mobile Chapter

6060 Southbend Dr. N.

Mobile, AL 36619

Phone: (251)605-7882

Email: [email protected]

Waiver (MUST BE SIGNED)

I know that running a road race is a potentially hazardous activity that could cause injury or death. I should not enter and run unless I am medically able and properly trained, and by my signature I certify that I am medically able to perform this event, am in good health and am properly trained. I agree to abide by any decision of a race official relative to any aspect of my participation in this event, including the right of any official to deny or suspend my participation for any reason whatsoever. I assume all risks associated with running or walking in this event, including but not limited to: falls, contact with other participants, the effects of the weather, including high heat and/or humidity, traffic and the conditions of the road, all such risks being known and appreciated by me. I understand that bicycles, skateboards, baby joggers, roller skates or blades, animals, and radio headsets are not allowed in the race and I will abide by these guidelines. Having read this waiver and knowing these facts and in consideration of the acceptance of my entry, I, for myself and anyone entitled to act on my behalf, waive and release the University of South Alabama and its trustees, officers, agents, servants and employees, all sponsors, their representatives and successors from all claims or liabilities of any kind arising out of my participation in this event.

Signature:__________________________________________ Date:_____________________

If you are under the age of 18 parents/legal guardian must sign:

Signature:___________________________________________Date:_____________________