Promoting community integration by facilitating activities for those affected by brain injury while valuing the uniqueness of those individuals, to encourage peer mentoring and inspiring hope, strength, and joy.
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4:00 pm to 8:00 pm
Ability360 - Nina Mason Pulliam Conference Center
5025 E. Washington Street, Phoenix AZ 85034
Brainiac Social #3
FREE to Survivors, Immediate Family and/or Caregivers ages 18+ only
Additional family and friends ages 18+ only are welcome to join at a cost of $5.
Registration deadline is midnight of 8/23/18.
Join us for the third Brainiac Social Activity of the year.
Card Games including Poker and a Lip Sync Competition!
Pizza, Salad and Drinks will be provided.
Please feel free to bring your own food/drinks if you have any dietary restrictions.
Definition of "Immediate Family" is the parent, spouse, sibling or child of the Survivor.
Final details will be e-mailed to all registered participants on 8/24/18.
Please make sure to include the FULL names of all attending and make sure that the total number of those registering for each option is correct. Please note that if someone has already registered and you want to add additional persons you do NOT have to include the persons already registered. Thank you!
Please read details below prior to scrolling down to view and register for any activity/event.
For our regular participants that we have an e-mail address for, an Evite Invitation is sent out as a means to notify that “Registration is Open” or to “Save the Date”. This also serves as a way for participants to be able to see who is attending in case they want to try and ride share. Please continue to RSVP Yes, No or Maybe upon receipt, however please note that online registration or mail in registration is now required for each person attending prior to the deadline given along with payment if applicable.
Option to Invoice for "No Show"
If you register for an activity/event online or by mail and are unable to attend, please notify us in writing at email@example.com or by calling one of the numbers listed below prior to the applicable registration deadline. If we are not notified of change in attendance prior to the deadline, we will not be able to issue a refund for any amount you paid. In addition, if you have registered for a “FREE” spot paid on your behalf by We’re MOVING FORWARD! and do not notify us of your change in attendance before the applicable deadline or are a “no show”, we reserve the right to invoice you for the amount that was paid on your behalf.
Required Documents to Attend/Participate
A Waiver-Media Release/Info Form is required for each person attending any We’re MOVING FORWARD! activity/event. This information is for emergency purposes and also for us to gather statistics for grants. We will never share your personal information without your prior consent. “Click here” to see an example of the document. This document is automatically generated and e-mailed to you upon registering for an activity/event online. If you did not complete this information at the Christmas Party or have not mailed them to us in advance, you will be required to bring them with you to the first activity/event that you attend in 2018. The document is good for the full year.
We’re MOVING FORWARD! does not provide anyone to assist with care and/or safety needs. Participants are responsible for their own safety. If mobility, cognitive, vision or other issues can be foreseen putting any participant at risk, it is the participant’s obligation to have a responsible party attend with them to assist with their needs and safety. We also do not provide transportation.
We’re MOVING FORWARD! is open to survivors of brain injury ages 18+ and their family members with varying abilities. (Some activities/events are open to all family members and friends, any age) The majority of our activities/events are wheelchair accessible; however, in our effort to provide a wide range of activities that challenge all of our participants, we do organize an occasional activity that is more suitable to those with less physical limitations as well.
Code of Conduct
By responding, registering and/or paying for an activity or event for We’re MOVING FORWARD! You acknowledge that you have read and agree to abide by the "Code of Conduct".
Contact Ronda Alcorn (480) 209-7663 or Tara Pepiton (602) 909-7330.
Registration by Mail
Please mail the following:
1. Payment by check or money order total to include each person attending, also noting if a survivor space is being used at no cost.
2. Please provide names of each individual attending, making sure that you are aware of age restrictions of activity you are registering for.
3. Waiver/Release-Info Sheet required for each individual attending, if you have not already provided. Note – a new form is required each year. If you do not have a printer, please plan on signing this document upon your arrival to the activity/event.
4. IMPORTANT! Please mail in a timely manner, as payment must reach us prior to the deadline.
Attn: Ronda Alcorn
We’re MOVING FORWARD!
2444 E. Boston Street
Gilbert, AZ 85295
FOR ALL REGISTRATIONS IT IS EXTREMELY IMPORTANT TO MAKE SURE THE QUANTITY SHOWN FOR EACH CATEGORY MATCHES THE NAMES LISTED FOR THAT REGISTRATION. FOR EXAMPLE: REGISTERING FOR 2EA. FAMILY & FRIENDS, THEN THE TOTAL QTY (AFTER NAMES ENTERED) SHOULD BE 2.