Northeast Brain Injury Alliance Bowlathon

Date:

Sat, 2012-10-13

ANNUAL BOWLING FOR

BRAIN INJURY AWARENESS

Presented by

THE BRAIN INJURY ALLIANCE OF IOWA

NORTHEAST AREA GROUP

WHERE: MAPLE LANES BOWLING CENTER

WHEN: SATURDAY, October 13th, 2012 from 1:00 to 3:00 PM

DONATION: $15 PER PARTICIPANT

DONATION INCLUDES: 2 GAMES, SHOE RENTAL, PIZZA AND POP

PARTICIPANTS WHO SIGN UP BY September 30TH WILL RECEIVE A FREE T-SHIRT!!

BRAIN INJURY SURVIVORS, THEIR FAMILIES AND FRIENDS, AND THE GENERAL PUBLIC ARE ALL INVITED TO PARTICIPATE...

LET'S FILL ALL OF THE LANES AND SHOW OUR SUPPORT!!!

Send a check payable to BIA-NEAG along with this registration to:

BIA-NEAG

c/o Mary Jo Krupke, Treasurer

814 Baltimore St

Waterloo, IA 50702

To be guaranteed a T-shirt, registration must be received by SEPTEMBER 30!!

Please contact Mary Jo at 319-830-5549 with any questions.

You may register as an individual, or in teams of up to FOUR people.

Name pS pM pL pXL pXXL pXXXL

Any special needs for bowlers? (ie: Wheelchair accessibility, Bowling Ramps, Bumpers, etc.) ____________________________________________________________________________________________________________________________________________