2013 Registration
Walk For Brain Injury
and mail along with check to BIAA--Tx DIVISION P.O. Box 95234 Grapevine, TX 76099-9752
First Name: ___ Last Name: ___ Address: ___
First Class Postge Required
Register online at www.biausa.org or complete this form
A Statewide Community Awareness Campaign Texas Division
City: ___ State:_______ ZIP:_______________________
The Texas Walk for Brain Injury is a major awareness and fundraising campaign for all Texans. All registrants are encouraged to actively seek sponsors and donors to help fund and support the ongoing efforts of BIAA— Tx Division, so that it may continue to provide programs and services in communities throughout Texas.
Phone: Email: T-shirt size: Child: SM, M, L Adult: SM, , M, L, XL XXL
Please circle one
Walk location: ______________ Virtual Walker: _______ Team Name: Are you a team captain? Yes ____ No ____
If every participant will accept the challenge to raise a minimum of $100 (that’s only $10 for 10 sponsors – just remember 10 for 10), we will far exceed our statewide goal of $180,000 this year.
(A team captain is leader of the walk team. Responsibilities include leading team fund-raising events.)
Registration Fees
$25 $25 $35
Enclosed is my check for $ _____________ Waiver: I hereby waive all claims against the BIAA walk site hosts and sponsors, personnel, and volunteers for any injury that I may suffer from my participation in this event. I grant full permission for organizers to use photographs, videotapes, recordings, or any other record of this event in which I may appear for any legitimate reason.
Signed: Date: Parent/Guardian: (If Walker is under 18)
Please join us in Round Rock–Austin, Sugar Land–Houston, Grand PrairieDFW or San Antonio. BIAA—Tx Division 603 Louis Henna Blvd., Suite 197 Round Rock, TX 78664
Walk Day prices increase-Walker with Brain Injury Students Walker
$ 15 $ 15 $ 25
Texas Division
Walker with Brain Injury Students K-12 Walker
March is National Brain Injury Awareness Month, and BIAA--Texas Division has teamed up with several sponsors whose generosity is helping make this Texas Walk for Brain Injury a success.
2013 Round Rock-Austin • March 9 Sugar Land-Houston • March 16 Grand Prairie-DFW • March 23 San Antonio • In the fall
Register online today (www.biausa.org) and create your individual and/or team fundraising page. You can make a difference. For updated information click on the Walk Banner at www.biausa.org. The walk will be held rain or shine. There will be shelter; however, in the event of torrential rain or other severe weather, be sure to check the Web site.
Numbers Tell the Story
Register Today
Go online to www.biausa.org and click on the GREEN Texas Walk For Brain Injury graphic under the photo on the home page. Or complete the attached
• 144,000 Texans sustain a Traumatic Brain Injury (TBI) each year.
• 479,000 Texans were living with
TBI-related disabilities as of 2007.
• Lifetime medical and lost earnings costs in Texas exceed $1 billion each year.
• In the U.S. 1.7 million people annually sustain a TBI
• Annual direct medical and indirect costs in the U.S. approach $77 billion (CDCP).
Round RockAustin Saturday March 9
Sugar LandHouston Saturday March 16
Grand PrairieDFW Saturday March 23
San Antonio
Where: Dell Diamond 3400 East Palm Valley (US 79) Round Rock, TX 78665 Check-in: 8 a.m. Walk: 9 a.m. Where: Constellation Field 1 Stadium Drive Sugar Land, TX 77498 Check-in: 8 a.m. Walk: 9 a.m. Where: QuikTrip Park 1600 Lone Star Pkwy. Grand Prairie, TX 75050 Check-in: 8 a.m Walk: 9 a.m. Date & Time to be announced In the fall. . .
registration form and mail it along with check (payable to BIAA--Tx DIV) to:
Texas Walk for Brain Injury P.O. Box 95234 Grapevine, TX 76099-9752
Form a Walk Team
Family and Corporate walk teams drive the success of the Texas Walk for Brain Injury. A walk team can include family members, co-workers, students, community organizations, or anyone who wants to join the effort to raise funds to support the Brain Injury Association of America--Texas DIVISION
Raise Funds
After you register for the Texas Walk for Brain Injury, you can either set up your own fund-raising page from the website to solicit donations via e-mail, or you can download fundraising materials from the website that will help you to raise money as a team participant or individual walker.
Let the Walk Begin!