151 Kalmus Drive, Suite M-5Costa Mesa, CA 92626

Phone & Helpline: 714 540-5794E-mail: info@dsaoc.org

Fax: 714 540-5872Website: www.dsaoc.org

National Down Syndrome Society666 Broadway, 8th Floor

New York, New York 10012-2317Phone: 800-221-4602 or 212-460-9330

E-mail: info@ndss.orgFax: 212-979-2873

Website: www.ndss.org

Orange County• Sunday, November 1, 2015• Angel Stadium of Anaheim

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Please feel free to make copies of this form for family and friends!

Donations in name/honor of:

Please print the name of each of your donors and the amount of their donation. All donor contributions will be acknowl-edged. Contact information will be taken from donor checks. For all other donations, (i.e. cash, money orders, or in kind gifts) please provide us with a name and address.

Please make checks payable to: DSAOC

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Individual/Family RegistrationTo register a Team, please visit our On-Line Walk Center at dsaoc.donordrive.com/event/bw2015/ or call 714-540-5794.On-lineregistrationdeadline:NoononFriday,October30

Contact Name:Mailing Address: City, State, Zip: Daytime Phone: E-mail Address:Pre-EventRegistrationFees:Registration fees include access to the field activities, tunnel B attractions, and entertainment, as well as a 2015 Buddy Walk t-shirt (t-shirts and sizes are not guaranteed if you register after October 12, and are only available while supplies last). RegistrationFees: $25(11yrs and up),$15(3-10yrs),$5(2yrs and under WITHx-small T-shirt order),FREE(2yrs and under withoutt-shirt order). Pleasenote: Registration fees increase by $5 each level at on-site registration, so be sure to register early!Registration: Please list names below and indicate shirt size requested. Adult (A) sizes are S, M, L, XL, XXL. Child/Youth (C/Y) sizes are YS, YM and YL. We also have x-small available for children 2yrs and under for $5.Walker Size

1. A C/Y x-small

2. A C/Y x-small

3. A C/Y x-small

4. A C/Y x-small

5. A C/Y x-small

I/We are walking on a team.

Team Name:

Team Captain:

PleasemailorfaxthisformtoDSAOC151 Kalmus Drive, Suite M-5, Costa Mesa, CA 92626

Phone 714-540-5794 Fax 714-540-5872 Website: www.dsaoc.org

I have enclosed a check, payable to DSAOC, for my registration.Please charge my credit card: VISA M/C AMEXName on card:Card#: ExpSignature:

I cannot participate in the walk, but please accept my donation of: $20 $50 $100 OtherDonation in honor/name of:

SignatureRequired(Parentsignatureifparticipantisaminor)I hereby waive and release all claims against the Down Syndrome Asso-ciation of Orange County, the City of Anaheim and all persons and agen-cies connected with this event for any injury I might suffer which arises from my participation in and travel to and from this event. I certify that I am physically fit and prepared for this event. I also authorize the use by DSAOC of any photo, film or videotape taken of me or members of my

family at the event for any purpose.

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Sign Up Today www.dsaoc.orgor dsaoc.donordrive.com/event/bw2015/

Walk With A MissionDown Syndrome Association of Orange County (DSAOC) and National Down Syndrome Society (NDSS) strive to promote acceptance of people with Down syndrome in all aspects of community life. DSAOC works hard to support families and provide the means necessary to empower individuals with Down syndrome to reach their full potential. Join us on our mission to change perceptions so we can change lives.

Walk With A TeamAdd some FUN to your FUNdraising! Organizing a team is a great opportunity to increase awareness, have fun, and raise funds at the same time! Organize a group of your friends, family members, neighbors and co-workers to walk with you and your child.

Give your team a creative name, carry banners or signs, wear hats or buttons. You can even arrange to pick up your team’s T-shirts from the DSAOC Center beginning the week of October 21 so you can add your child’s picture or team name to them.

Ask members of your team to help you achieve your fundraising goal. They can qualify for individual prizes while also helping you win team prizes.

Register and create your own team page at our On-line Walk Center at dsaoc.donordrive.com/event/bw2015/

Raise FundsThe Orange County Buddy Walk helps raise awareness by having a large, public event where we gather in unity showing support for our loved ones with Down syndrome. This event is also a major fundraiser for DSAOC; helping to fund many of our annual programs, services and support groups offered at no cost to our community. A portion of the Buddy Walk proceeds go directly to the National Down Syndrome Society (NDSS) to help fund national research and advocacy programs. Registration fees are kept low, making participation affordable for as many as possible. However, registration fees barely cover the costs of this event. Please consider asking those you know to make a donation toward your team - Thank you!Buddy Walk Sponsorships - your team gets credit!Monetary and in-kind donation sponsorships are avail-able and provide recognition and marketing opportuni-ties. All sponsorship levels include Exhibitor space on the field during the event. Your team can be credited for any sponsors you bring to the event! For more informa-tion, call the DSAOC Center at (714) 540-5794.

Changing Perceptions,Changing Lives

Event Day ScheduleSunday, November 1, 2015On-site Registration/Check-in: 9 - 11 a.m.Buddy Walk event entrance is located on the west side of the stadium (State College side) at Gate 1. All participants must enter through this gate. Families that have already registered and received their entry bracelets can access the stadium through Gate 1 or Tunnel B.Exhibitors: 9 a.m. - 1 p.m.Exhibitors will have games, arts/crafts and fun giveaways, and others will have great information you won’t want to miss. Be sure to bring some extra cash with you forcotton candy, tacos, funnel cake, and other delicioussnacksandlunchoptions.A portion of the proceeds from several food vendors will benefit DSAOC. REMINDER: You can also bring in your own food/beverages.

Walk: 11 - 11:45 a.m.Walkers will be led by the DSAOCAll-Stars(teens/adults with Down syndrome) and our Grand Marshal,JamieBrewer- Star on American Horror Story, and first model with Down syndrome to walk in the NYC Fashion Week. They will be joined by other special guests from our com-munity. The walk path exits the field from Tunnel A and returns to the field through Tunnel B. The entire route is wheelchair and stroller accessible. Have your camera handy for some exciting guests along the walk path!

Fun On the Field: 9 a.m. – 2 p.m.Fun for ALL ages! Bat from home plate and run the bases just like the Angels! Dance to music by DJWillPower, experience rock climbing, play in bounce houses, enjoy clowns, face painting and great company! Exciting attractions await you outside Tunnel B! Awesome presentations on stage from select exhibitors, and live musical entertainment on the field and at Tunnel B.

Register orDonate On-linedsaoc.donordrive.com/event/bw2015/

Facts About Down Syndrome• Down syndrome is the most commonly occurring genetic condition. One in every 691 babies is born with Down syn-drome, representing more than 400,000 people in the United States.• Down syndrome is a chromosomal condition which usually causes delays in physical and intellectual development. In-dividuals with Down syndrome can also have certain health conditions; many are easily correctable once diagnosed. • Life expectancy for individuals with Down syndrome has increased dramatically in recent years due to early interven-tion, updated healthcare guidelines and increased awareness of medical conditions common in individuals with Down syndrome. It can also be attributed to loving homes, a more positive public image and acceptance in community life.• Individuals with Down syndrome hold jobs, go to school, and make positive contributions to their communities. They carry more traits of their birth family than traits attributed to Down syndrome.

Down Syndrome Association of Orange County ServicesDSAOC serves more than 2,000 families and community members in Orange County and surrounding areas. We also assist educators, health care professionals, researchers and therapists with information, training and support materials. Information and services are provided in English, Spanish and Vietnamese. We put an emphasis on parent education and health care education because we believe knowledge is power, and we believe that children with Down syndrome that grow up healthy are better able to take on educational and vocational opportunities, and actively participate in their communities.New Parent Outreach & Support GroupsInformation & Professional ReferralsPrenatal Diagnosis SupportMulti-media Resource LibraryHealthcare Series SeminarsCHOC Children’s Down Syndrome ProgramCommunity Awareness ProgramsSocial Events & Activities for FamiliesInteractive Website, Blog & Social MediaTeen/Adult Events & ActivitiesDSAOC “Sibshops” for Siblings “Community Corner” Awareness Videos... and much more! Visit www.dsaoc.org

Directions to Angel StadiumFrom I-5: take the CA-57 North; exit Orangewood Avenue. Follow signs to Angel Stadium. From CA-22: Exit City Drive (stay left at the fork on the ramp); left on City Drive (which becomes State College). Turn right onto East Gene Autry Way.

FREE PARKING - Park on the west side of the stadium near Gate 1, on the State College side. Pleasenote:No pets allowed on the stadium field.

Register online by NOON on Friday, October 30! When you register as a participant in the 2015 Orange County Buddy Walk, you are provided your own personal web page to personalize in the following ways:• Create a personal message and upload photos• E-mail potential supporters and team members• Track Your ProgressWhen you make a donation to a team or individual par-ticipant, you can place a note of support that will scroll on the team or individual’s donation page.

2000 Gene Autry WayAnaheim, CA 92806

Prize Eligibility DeadlinesRegistered walkers will receive a wrist band for event entry and a 2015 Buddy Walk T-shirt (t-shirts/sizes are available while supplies last, and are only guaranteed for those who register by October 12) and have access to a wide variety of activities and entertainment on the field at Angel Stadium. Prizes and recognition will be awarded to the Captains of the TOP 3 teams with the most registered walkers and the TOP 3 teams that raise the most funds. Additionally, prizes will be awarded to Individuals and Team Captains who raise $500 or more. Specific prizes and incentive levels can be viewed by visiting the ‘Event Information’ link on the Buddy Walk website. PleaseNote:The deadline to qualify for the TOP team awards is Sunday, October 25. The deadline to qualify for all other prizes is NOON on Friday, October 30.

Register Online by October 31On-siteregistrationincreasesby$5eachlevelaton-site registration, so register early! The deadline to register online is Friday, October 30 at NOON. You can register on-site the day of the event (until 11 a.m.) at the increased price. Youcanstillpostdonations toyouronlinepagethroughJanuary2016.