Rider Name_______________________________________D/O/B_____________
Address________________________________________Phone_______________
On June 8 2008, I will ride my bicycle in the Mansion Ride to raise Autism Awareness and funds for the Ascent School for Kids with Autism. Autism affects 1 in 150 births. Most children with Autism are placed in institutions or group homes before they are 13. I support Ascent because it is making a difference in the lives of families and children battling autism. Your sponsorship means so much! Checks can be made out to Ascent School--a 501(c)3 charity. 100% of funds will be donated to Ascent. Learn more by logging onto www.MansionRide.com or www.AscentSchool.org. Thank You!
| Sponsor NAME & CONTACT | Amount | Ck# |
| TOTALS: |
All Checks should be made out to Ascent School.
Here are some fundraising tips. Good Luck and Thanks!
What do I do after I have collected all my funds? If you have not yet registered than you may register off line. Click the Register Off line tab on your left. If you have collected more than $100 we will waive your rider registration fee, but please be sure and fill out and sign the registration form completely. Mail all information and check(s) to Mansion Ride Co-chair Linda Finkel-- 3412 Bayfield Boulevard, Oceanside, NY 11572.
Print this page as many times as you need
Ride to
Enjoy the sights
Smell the Flowers
Uncover Autism
Build Awareness
& Tell the World
There is Hope!