Roberta J. Ivy Kidney Awareness Foundation
Roberta J. Ivy Kidney Awareness Foundation was created by Robert Ivy to raise money to benefit
people affected by kidney disease. Mrs. Roberta J. Ivy was diagnosed with kidney disease at an
early age and succumbed to the disease. After her passing, her children were diagnosed and
received kidney transplants. During Robert’s experience, he felt a calling to give back to the
community and bring awareness to the disease. The walk is scheduled for June 8, 2019 at 9 a.m. Warm-up begins at 8:00 a.m.

We will begin the walk at the Boys and Girls Club and proceed to Molly Barr Rd walking the trail.
All proceeds from the walk will help to coordinate services with the RJI Foundation and assist with the
supplies needed to make the dialysis patients as comfortable as possible during treatment. There
is also a scholarship fund designate to award a high school student majoring in the health related
field.

Make checks payable to: RJI Kidney Awareness Foundation

Mail to: RJI Kidney Awareness Foundation, Post Office Box 2027, Oxford, MS 38655

Online Payments: https://bit.ly/2G2SkYY

First Name, Last Name *
Your answer
Mailing Address *
Your answer
City, State, Zip Code *
Your answer
Email Address *
Your answer
Daytime Phone Number (including area code) *
Your answer
I am walking in support of this worthy cause because... *
Required
I want to walk and I understand that the registration fee is $30 (ages 18 +) and $15 (ages 6-17). *
Required
What is your t-shirt size
If you want to add more information, please feel free to do so below (how many t-shirts, additional donation, volunteer, etc.)
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service