Spirit Rider
9/11 Memorial Brotherhood Walk
Long Beach Boardwalk at National Blvd.
9:30 a.m. Check in & Registration
10:30 a.m. Start
Saturday, September 11, 2010

Course:  A 2 mile walk from National Blvd to New York Ave. and back

Directions: Meadowbrook Pkwy South to Loop Pkwy to Lido Blvd. Right turn onto Lido Blvd, go west approximately 4 miles to National Blvd., make a left onto National and head towards the beach

Alan L. Johnson Community Service Grant: All schools are eligible for this $1,000 grant. This grant will be awarded to the school that has the largest number of registered participants.

Registration Fees: Walk & T-shirt - $15.00
                                Walk, T-shirt & Lunch - $20.00
Check or money order payable to The O’Keefe Foundation, Inc.

***Don’t miss our ocean sailboat race, D.J. on the beach,
and beach cruiser bicycle raffle, following Walk***
For information: 516-662-0485  

Event sponsored by: The O’Keefe Foundation, 15 Baylis Place, Lynbrook, NY 11563
All proceeds fund student scholarships

DOWNLOAD FLYER HERE    FILE#900

Print out the form below and mail to O'Keefe Foundation

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Waiver: In consideration for the entry into the Spirit Rider 9/11 Memorial Brotherhood Walk, the undersigned intending to be legally bound do hereby, for myself, my heirs, executors or administrators waive and release any and all rights and claims I may have against The O’Keefe Foundation, Inc., the Race/Walk Sponsors, Organizers and Officials, the City of Long Beach and all its departments and their representatives, successors and assigns, for any and all injuries suffered by me in said event. I hereby warrant and represent that my physical condition is capable of participating which condition has been warranted by a licensed physician. In addition, I hereby grant full permission to any and all of the foregoing to use any photographs, videotapes, motion pictures, recordings or any other record of the event for legitimate purposes.

Last Name ________________________ First Name ________________________

Date of Birth _______________

Address ___________________________Town _________________Zip _________

Phone __________________

Email address _______________

Signature_________________________________ (Under 18 - Parent’s signature)

Shirt Size:     Adult: S_____ M _____ L _____ XL _____

For Office Use Only:

9/11 Family Member ____ Firefighter____ Police____

Armed Services ____ Student ____ School _______________________