04-18-09 Autism Walkathon Registration

Top 3 participants who collect the most donations will win one of the following prizes: Nintendo Wii Fit Apple iPod Apple iTouch!

Saturday, April 18th Fisher Middle School Ewing, NJ Events 10:00

Registration

11:00

Opening Ceremony

12:00 1:00 1:20 2:00

Vendors and concessions open throughout the day! Key Note Speaker – Jill Harris, PhD Children’s Specialized Hospital

Walk-a-thon Starts (8 laps = 2 miles) Local Mascots will start the walk!!!

Math Demo, Eating Healthy/Gluten-Free Diets, Interactive Stress Management Presentations Mascot Basketball Game TCNJ sports camp clinics & Hands-on OT

Sponsored by: Ewing Public Schools Parents Educating Parents (PEP) Ewing Township Education Association (ETEA) Kiwanis of Ewing Ewing Public Education Foundation (EPEF)

PEP The Ewing Public Schools Ewing Public Education Foundation ETEA

HELP RAISE AWARENESS FOR AUTISM 2-Mile Walk-A-Thon Date: Place:

Saturday, April 18, 2009 Fisher Middle School Track 1325 Lower Ferry Road Ewing, NJ 08618

Registration: 10:00 AM Course: Awards: Prizes:

2009

2-Mile Walk Start: 12:00 NOON

The 2 mile course will consist of 8 laps around the Fisher Middle School Track. Ribbons will be given to each participant that completes the 2-mile walk. Prizes will be given out for the most donations raised by a single member. Nintendo Wii and Wii Fit 1st Prize: 2nd Prize: Apple iTouch rd 3 Prize: Apple iPod Nano

Refreshments: Breakfast and Lunch will be available for purchase the day of the walk.

Refreshments will include: water, soda, bagels, hot dogs, hamburgers, chips, pretzels, etc.

Entry Fees:

Pre-Entry: $15, includes Walk day Tee-Shirt, Pre-Entries Must be received by April 3, 2009 Registration after April 3, 2009: $20, Walk day Tee-Shirt while supplies last. Please Make Checks Payable to: Ewing Public Education Foundation, Inc. MEMO: PEP Mail Entry To: PO BOX 7033 Ewing, NJ 08628

*If you are unable to attend but would like to make a donation, donations can be mailed to the above address with PEP as the MEMO

ALL proceeds from the registration and ALL donations made will benefit Parents of Autistic Children (POAC) For more information on POAC, visit www.poac.net The day will include various vendors, speakers, and demos for entertainment and educational purposes! Name________________________________________ Age on Race Day_____________________ Street_______________________________________ City______________________________ State___________ Zip Code_______________ Phone Number_(______)________-___________ T-Shirt Size (check one) Youth____Small ____Medium _____Large ____XL Adult ____Small ____Medium _____Large ____XL ____XXL Waiver/Agreement: In signing this release, I acknowledge that I understand its intent, and I for myself, my heirs, executors, administrators and representatives, do hereby agree and will absolve and hold harmless Ewing Public Schools, The Kiwanis, ETEA, all other sponsors, cooperating organizations and any other parties connected with this event in any way, singly and collectively, from and against any blame and liability for any injury, harm, loss, inconvenience or any other damage of any kind whatsoever, which may arise out of the negligence or carelessness on the part of any person named in this waiver. I hereby consent to and permit emergency treatment in the event of injury or illness while participation in the Spring Changes for Autism. I also hereby give permission to the Spring Changes for Autism, to use my name or image by way of a photograph, video or audio format taken of me during the event in any promotional materials, publications or any other electronic media in addition to disclosing my name on the District’s Web site.

__________________________________ Applicant’s Signature

Date

__________________________________________

Signature of Parent or Guardian, Date if walker is 18 years old or younger Spring Changes for Autism Walk reserves the right to refuse or dismiss anyone that may cause any disturbance or hindrance in any manner that could jeopardize the safety of oneself or others.

____Please check if you have already registered. Name: Address:

Phone Number:

My Donation Page

Email:

Donor’s Name

Make all checks payable to: Ewing Public Education Foundation, Inc. PO BOX 7033 Ewing, NJ 08628

Address

Check #/Cash

Total Enclosed

MEMO: PEP

All walkers are encouraged to collect donations in advance and bring them to the Walk. Walkers are also encouraged to convert all cash to a check. Your canceled check serves as a receipt.

Total Turned in Today:

_________________

Total Turned in Prior to Walk:

_________________

Company Matching Gifts:

_________________

Total Raised:

_________________

ALL proceeds from the registration and ALL donations made will benefit Parents of Autistic Children (POAC) For more information on POAC, visit www.poac.net

WHY WE CHOOSE POAC AND MORE INFORMATION ON THEIR ORGANIZATION:

More children are diagnosed with autism each year, than cancer, aids and diabetes combined. 1 out of every 150 children born today is on the autism spectrum. In New Jersey the number is even higher, 1 in 94 and 1 in 60 boys. There are many national and local organizations focused on autism research, but almost none dealing with teaching and reaching children already affected by this disorder. The needs of children with autism are often not met in a traditional special education environment, and parents are unprepared to deal with the daily challenges of having a child with autism. POAC (Parents Of Autistic Children), a 501(c)3 nonprofit organization, was formed to help address these needs. Founded in 1999, POAC's mission is to provide scientifically-based training to parents, teachers, and related personnel who provide direct services to children with Autism. In order to fulfill its mission, POAC offers targeted and sustained training to parents, professionals and paraprofessionals. This training focuses on Applied Behavior Analysis (ABA), the only research-based treatment recognized by the U.S. Surgeon General for children with autism, and specifically B.F. Skinner’s analysis of Verbal Behavior (VB). Because autism affects all those who provide services to children with the disorder, POAC serves not only the children and their families, but also the professionals who treat and teach them. Major goals are to:

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Provide information regarding effective interventions to the educational community through ongoing workshops, training and conferences Teach parents and families strategies for living successfully with autism through an ongoing free parent training series Increase the pool of individuals qualified to work with children with autism at all levels Bring “best practices” teaching techniques to model classrooms throughout the state Increase public awareness of the disorder

Since its inception, POAC has provided numerous services and support to thousands of people throughout New Jersey and across the country. Some of their accomplishments include:

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Free training to thousands of parents, teachers, and other service providers Free Five Part Training series offered at locations throughout the state POAC has reached out to colleges and universities and provided course work to students studying to be special education teachers This organization also provides free training to law enforcement professionals, emergency services providers, and other members of the general community who come in contact with children with autism every day Provided hundreds of thousands of dollars in scholarships for advanced training in best practices teaching procedures to public school teachers Funded the first statewide program for the early detection and intervention of children with autism. Hosts the largest attended autism family event in New Jersey, our Free Family Picnic/Carnival Provides fun, family centered activities for those with autism and their siblings Commissioned the first musical about autism and how it affects families, “Day After Day” Provides a free speakers bureau to civic, service, and parent groups throughout New Jersey Provides an informative quarterly newsletter, The Difference with a subscription of over 4000

Making a difference in the lives of children now is at the heart of everything they do at POAC.

With your help, POAC has become a bastion of support and a beacon of hope to the autism community.

B O A R D

O F

E D U C A T I O N

JOHN F. GUSZ BUILDING 220 Ewingville Road, Ewing NJ 08638 Phone 609-538-9800 Fax 609-883-3458 www.ewing.k12.nj.us

Dear family friends, and colleagues, On April 18, 2009, I will be participating in the Spring Changes Walk-A-Thon for Autism. The money raised from this event will go to POAC, a parent organization dedicated to assisting children and their families with Autism. This walk-a-thon provides the opportunity to unite our community while raising funds to help improve the lives of those affected by this disorder. Your support will help us to reach our goal and help those who live with Autism in our Ewing community. Please complete the sponsorship form and return it with your tax deductible contribution made payable to the Ewing Public Education Foundation PO BOX 7033 Ewing, NJ 08628. Please write PEP in the memo line. If you are able to join us we look forward to seeing you at the event on April 18, 2009, if not thank you for your support for this worthy cause. For more information or questions please contact Dave Hauserman, District Supervisor of Special Education for the Ewing Public Schools at (609) 538-9800 (ext. 7150) or contact us via our email [email protected] .

Thank you again for your support,

The Ewing Public Schools Providing a Foundation for Life