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Light The Night Registration<br />

The <strong>Siteman</strong> <strong>Cancer</strong> <strong>Center</strong> at Barnes-Jewish Hospital and Washington University School of Medicine and<br />

St. Louis Children’s Hospital is sponsoring a team for the Leukemia & Lymphoma Society’s Light the Night® Walk<br />

on Friday, September 27, 2013.<br />

Team members can raise funds by encouraging others to contribute. Funds will be used for research to find cures and<br />

improve the quality of life for patients and their families. Become involved in this worthwhile endeavor and give yourself<br />

the experience of helping others. You will be glad you joined us.<br />

Registration & Rewards<br />

The Registration Fee of $25 will include an illuminated lantern to carry during the walk. Walkers can earn additional<br />

rewards, including Light the Night T-shirts and sweatshirts. Plus, walkers raising $300, $500, $1,000, $2,500 or more will<br />

receive other exciting gifts.<br />

You can register online at w w w.lightthenight.org and follow these easy steps to register with<br />

the <strong>Siteman</strong> <strong>Cancer</strong> <strong>Center</strong> Team! Register to walk<br />

Join a team<br />

<strong>Siteman</strong> <strong>Cancer</strong> <strong>Center</strong> and St. Louis Children’s Hospital<br />

Join!<br />

YES! Register me to Light the Night in support of those touched by cancer!<br />

Name:_______________________________________________________________ Date: ______/______/__________<br />

Home Address: _________________________________________________ City: _________________ Zip: _________<br />

Phone: (________) _________________________ Alternate Phone: (________) _____________________________<br />

Email: ___________________________________________________________________________________________<br />

YES! I would like to support the Light the Night Walk, 2013 as a member of the<br />

<strong>Siteman</strong> <strong>Cancer</strong> <strong>Center</strong> and St. Louis Children’s Hospital Team. Enclosed is my registration fee of $25.<br />

All walkers will receive a Light the Night illuminated lantern, food and refreshments<br />

Yes! I would like to become a Champion for a Cure. Enclosed is my $100 or more donation.<br />

Walkers who raise $100 or more will receive a Light the Night t-shirt, illuminated lantern and a wristband which<br />

entitles the walker to food and refreshments (in a separate food tent) For more information visit: www.lightthenight.org<br />

No, I am unable to participate this year. However, enclosed is our donation to help make the walk a success.<br />

Amount Enclosed: $__________ Make checks payable to: The Leukemia & Lymphoma Society<br />

SCC16158 • 7/13

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