Float for a Mito Cure 2018 - Ticket Form
Yay!  We are so excited you are joining us for the 2nd Annual Float for a Mito Cure!  It will be a fun day on the Perquimans River (located in Hertford, NC - about an hour from Hampton Roads, VA) with food, music, silent auction and sunshine to help us raise funds and awareness for Mitochondrial Disease Research!  

DATE:

--> 8.11.18 from 11AM to 5PM

DETAILS:

--> Tickets are a minimum donation of $25 for adults, $10 for children (ages 5-12)
--> Tickets go on sale on Friday 5.11.18.  Spots are limited, so sign up before we have to close the list!
--> This is an outdoor event - feel free to bring umbrellas, beach chairs, ez up tents, coolers, food, beverages, etc. (Adult beverages allowed!)
--> B.Y.O.F!  (Bring your own float!), beach towels and life jackets if needed.
-->  Hamburgers, Hotdogs, Sides and Lemonade will be provided for lunch.
-->  There will be a silent auction and raffle items so wear your lucky swimsuit and bring your wallet! Cash or check will be accepted for auction items.  

HOW DO YOU GET ON THE LIST?

To keep things simple, fill out this form.  But before clicking submit, go to Lorelei's Fundraising page at the Children's Hospital of Philadelphia and make your donation.  (A minimum donation of $25/adult, $10/kids 5-12 - so if you have a family of two adults and one kiddo you need to make a $60 donation.)  Be sure you include your name with your donation and include "I'M FLOATING FOR A CURE" in the optional message.  Donations are tax deductible.  Come back to this form, fill it out, add your name to the list!  

Here's the link for donations: chop.donordrive.com/campaign/Lorelei

WHAT ABOUT RAIN?

The party will be held rain or shine, with the exceptions of expected storms. If storms are predicted we will push the event to the next day.  Our rain date is 8.12.18.  In the event that we cancel due to bad weather, we sincerely apologize but we cannot refund your donation.  

FLOAT AT YOUR OWN RISK!

This is a private residence, not a public venue.  Once you are on the list we will send you a confirmation email.  You will receive the address of the property the week of the event.  Additionally, you are floating, playing, swimming, eating, breathing, etc at your own risk.  There is NO LIFE GUARD.  The water by the dock is 3-4 feet deep depending on the day, with a soft, sandy bottom.  
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Name:
Cell Phone Number:
Email Address: (this is where we will send information and address for the event)
Number of adults and number of children in your group?
Check the box below, saying you have made your $25/adult, $10/child donation to Lorelei's Cure Mito Research Fund at CHOP. Here is the link: chop.donordrive.com/campaign/Lorelei
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Thank you for joining us and for supporting this great cause!  We cannot wait to celebrate and Float for a Mito Cure with you!  
For any questions, please contact Susan Geoghegan (benjamsa@gmail.com).
SO MANY THANKS TO OUR EVENT SPONSORS!
Ashley Paige Realty - Ruth Benjaminson
Children's Therapy Concepts, LLC
Tidewater Booth Services Inc
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