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APRIL 23, 2010
HELP KNOCK HOMELESSNESS
OUT OF THE BOX!

WHAT IS IT?
Cardboard Box City is a fundraiser in which people spend the night in a cardboard box to increase awareness about homelessness and raise money to support Family Promise of Forsyth County. Family Promise is a local agency that helps homeless families with children remain intact while they transistion to self-sufficiency. View the 2010 promo.
Listen to Debbi Butner talk about Cardboard Box City.

WHO CAN PARTICIPATE?
Middle/high school youth groups; school/community clubs and organizations; civic organizations, families, anyone interested! Children under age 12 must be accompanied by a parent/guardian.

HOW DOES IT WORK?

1. Register to become a resident of Cardboard Box City. Fill out the form below and click “Send”.
   
2. Collect at least $50 in “rent” (pledges). See pledge form on back for details. Prizes will be awarded to the top three fundraisers. Note: We ask that every participant, including chaperones, try to raise the $50 minimum. However, if this is a hardship, we will consider exceptions on a case by case basis. Please contact us.
   
3. Camp in Cardboard Box City for one night. Check in will be at 6 p.m. Friday night, and tear down will be at 7 a.m. Saturday morning.

Cardboard Box City, Survivor Style
This year’s activities will have a “Survivor” theme. Start practicing your knot untying, puzzle solving, etc., so you can challenge the other teams and be the top Survivors of Cardboard Box City 2010.

QUESTIONS?
Cardboard Box City
c/o Family Promise of Forsyth County
313 Hopkins Road Kernersville, NC 27284
Phone: (336) 245-1807
Email: boxcity@familypromiseforsyth.org

Please fill in information below and download a participation form. Signed participation forms serve as access ticket to event.

Individual Registration
*Participant Name	Required.
*Age	Required.
	(Participants under age 12 must be accompanied by a parent or legal guardian. Participants age 12-18 are asked to attend in groups or families.)
*Parent/Legal Guardian (if under 18) Re-type name (over 18)	Required.
*Email	Required.Invalid format.
*Mailing Address	Required.
*Phone	Required.
*T-shirt size	S M L XL 2X Minimum number of selections not met.Maximum number of selections exceeded.
Comment
*Yes *No Required. Required.	I hereby give Family Promise of Forsyth County and participating agencies permission to use film, video and/or photographs of the above mentioned minor for lawful promotional or informational purposes.
*Yes Required.	LIABILITY WAIVER: I understand that there are certain risks associated with the above mentioned minor (“the minor”) participating in Cardboard Box City hosted by Family Promise of Forsyth County at Kernersville Elementary School, and hereby, for myself and the minor, and any of our heirs, executors, and administrators, and in consideration for the minor being permitted to participate in the event, waive and release any and all rights and claims for damages that may accrue to the minor and for any and all injuries that may be suffered in connection with the minor’s participation in the event.
*Required

Group Registration
Groups must provide one chaperone (21 or older) for every five participants under age 18. Group leaders will be required to provide permission/waiver forms for each member at registration. Forms wil be emailed to you.
*Group Name (church/club/ school/family)	Required.
*Group Leader Name	Required.
*Email	Required.Invalid format.
*Church/Club School Name	Required.
*Church/Club School Mailing Address	Required.
*Phone	Required.
Number of participants in group	Required.
Comment – please list t-shirt sIzes needed for group
*Required