Winthrop University Hospital Perinatal Bereavement Program
Fifth Annual Walk to Remember
Registration Form

Saturday, October 4, 2008 at 10 a.m.
Eisenhower Park, East Meadow, Field #5
Registration Fee: $25 per person or $40 per couple
Seniors $15 per person
Children under 12 ~ free
Fee includes: T-Shirt, Participation in Ceremony, Walk & lunch
Make checks payable to Winthrop University Hospital
All proceeds will benefit the Winthrop University Hospital Perinatal Bereavement Program

Event Schedule
Check in 10:00 AM
Eisenhower Park - Field 5
Welcome
Memorial Service
Naming-Shared Memories
A “Walk to Remember”
Lunch

We are creating a Memory Scrap Book to be shared with others and displayed at future walks.  If you would like to create your own personal memory page for inclusion in the scrap book, please bring it with you the day of the walk.  The maximum page size is 12 x 12.

For questions, call: Margaret Fusco, LMSW: 516-663-9363

“Come Walk to Remember the precious babies we hoped for, wanted and loved.”