Stride to Cure FOP
Participant's Registration Page

Thank you for your interest! Kindly provide the following contact information, to be used for IFOPA office purposes only. All information will be kept strictly confidential and will not be sold to outside entities.

Download and print the Stride to Cure FOP Brochure.
(DELAWARE ONLY).

(PDF file -- -- Adobe Acrobat 7.0 or higher required. Click here to get it.
Legal-sized document -- Please adjust your paper and printer settings accordingly.)

Download and print the Stride to Cure FOP Walk Pledge Sheet (DELAWARE ONLY).
(PDF file -- Adobe Acrobat 7.0 or higher required. Click here to get it.)

Download and print the Stride to Cure FOP Walk Pledge Sheet (MICHIGAN AND ELSEWHERE ONLY).
(PDF file -- Adobe Acrobat 7.0 or higher required. Click here to get it.)

If you don't wish to register but would still like to donate to Stride to Cure in someone's honor, please click here.

Registration Form

Individual Registration Household Registration
Number of Household Participants (if registering as Household):

Contact Information

Mr. Ms. Mrs. Mr. & Mrs.
Contact Name:
Note: In the field above, please list either the individual's name or the name of a parent within the household registerng. Please do not include the name of a child within your household.
Email Contact:
Address:
City:  
State:
Zip:
Telephone:
   

This year's goal is to have one strider per FOP member in the IFOPA community. Therefore, each walker will be paired with an FOP member.

Name of FOP patient I would like to stride in honor of (if known):

We recognize that you may wish to walk in honor of a loved one or friend with FOP. To meet our ultimate goal of one strider per FOP member, you will additionally be paired with another FOP member(s). We will notify you of the member(s) you are paired with prior to the walk.

I am an FOP member who would like to have someone stride in my honor.

 

I plan to Stride to Cure at:

Glasgow Park, DE

Petosky Bayfront Park, MI

 

I cannot attend the May 10 event at Glasgow Park or Petosky Bayfront Park but would like to Stride to Cure FOP on that date someplace elsewhere.

 

Instead of Glasgow Park or Petosky Bayfront Park, I would like to stride at the following location:

 

T-Shirts

405 STRIDE TO CURE FOP shirts have been ordered (thanks to our generous business sponsors)! Of the world's ~600 known patients, 405 belong to the IFOPA. Let's stride for them all!

Note: Delaware and Michigan participants will receive their T-shirts at their events. Other participants will receive T-shirts in the mail.

As of May 9, 2008:

326 striders have registered!
79 to go
!

Thank you for registering! Please help spread the news, so 405 of us can all take a 'step forward' for the whole FOP community on May 10th in Delaware, Michigan, Florida, Washington, and elsewhere.

T-shirt pick up for Delaware participants will be at:

  1. Wednesday, May 7, from 5 p.m. - 9 p.m.
    At the "Friendly's Family Fun Night” - 10% of all sales will benefit the IFOPA!
    350 Dove Run Center Blvd
    (the Giant Shopping center, on the north side of Main Street, and west of DE Route 1)
    Middletown, DE 19709
    Friendly's Phone #: 302.376.5811
    (Google Maps link)
  2. Saturday, May 10, from 6:00a.m. – 3:00 p.m.
    At Glasgow Park
    Near the parking lot at the west end of the park
    (near the play-ground -- look for a silver van with FOP and Penn State paraphernalia. After 8 a.m, look for the FOP canopy and table.
    (Friends of Glasgow Park website)

T-shirt pick up for Michigan participants will be at:

  • At Petosky Bayfront Park on May 10, from 10 a.m. to 2 p.m.
    Underneath the big clock tower.

    (Available only to first 60 participants.)

Please select your T-Shirt size and quantity from the available sizes listed below.

Adult Small
Quantity:

Adult Medium
Quantity:

Adult Large
Quantity:

Adult XL
Quantity:

Adult XXL
Quantity:

Youth Small
Quantity:

Youth Medium
Quantity:

Youth Large
Quantity:

   
Donor

“I want to make a donation of $ to the ‘Stride to Cure FOP' walk

If you wish to pay by check, please mail your check to the following address:

International FOP Association
PO Box 196217
Winter Springs, FL 32719-6217

Note: If paying by check, please write "Stride to CURE FOP" in the memo field.

If you wish to pay by credit card using Pay Pal or Network for Good, please click here.

You may also pay by credit card by contacting the office and paying over the phone. The IFOPA office number is (407) 365-4194.
(Please note: Office hours are 9 a.m. to 5 p.m. Monday through Friday.)

(Note: You must return to this form after making your credit card payment in order to finish the registration process.)




 


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International FOP Association · PO Box 196217 · Winter Springs, FL 32719-6217
407-365-4194 · E-mail
together@ifopa.org