Special thanks to our 2012 Sponsors:

Ministry Health Care, Stevens PointMarquette Café & Bar, Marquette, Iowa

Cousins Subs, Stevens PointAlterra Coffee, MilwaukeeCareli Tours, Nicaragua

Digi-Copy, Stevens PointTeam Schierl Companies, Stevens Point

Casa Cross, NicaraguaAnderson, O’Brien, Bertz, Skrenes

& Golla, Stevens PointCampus Cycle, Stevens Point

Emy J’s, Stevens PointFred’s Towing, Stevens Point

Dekaios Designs, Stevens PointSt. Helena Cyclery, California

Centro Naturista Vital, NicaraguaBarber’s Shoppe, Stevens Point

Nature Treks, Stevens Point.....and to

Cartridge Savers, Madison WI for being the “Cornerstone” Sponsor!

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -Return form and $10 registration to W/NP Office, Room 129 Nelson Hall, UWSP

Stevens Point, WI 54481

Upon registration, you will receive an I Went the Distance T-shirt, and further details about the event. Participant Name __________________________ Address __________________________________ Email ____________________________ City _______________ State ____ Zip _________ Circle T-Shirt Size: S M L XL

I hereby assume all responsibility and release Wisconsin/Nicaragua Partners, and event organizers from any occurrence whether foreseen or unforeseen in connection with this event which may result in injury, death, or any damage to me or any minor or other person for whom I am legally responsible. I hereby release the W/NP, its staff and volunteers, and any sponsors from any injuries sustained from participating in this event. I further provide that this consent waiver applies to all heirs, executors and assignees. I further grant permission to this event or agents authorized by them to use any photographs, videotapes, motion pictures, recordings, or any other record of this event for any purpose. I have read the foregoing and certify my agreement by my signature below. ____________________________________________ _________________ Signature (Parent or guardian’s signature if under 18) Date

Who: Anyone & Everyone (both as groups and/or individuals)

What: Bike or Hike & record your miles - a portion of the combined mileage between WI & Nic (2,350 Miles)

Where: Anywhere you would like

When: Throughout the whole month of October – (at YOUR convenience ) Why: Raise awareness about Wis/Nic Partners

Raise funds for meaningful humanitarian projects Be a part of something great

I Went the Distance!Bike/Hike

October 1 – 31, 2012A collaborative effort – biking and hiking the distance between Wisconsin and Nicaragua!

BICYCLE for the winner in both Wisconsin and Nicaragua!Grand Prize for most funds raised and random prize drawings throughout the month

(Cousins subs, bike reflectors, and more)SIGN UP TODAY

Wisconsin/Nicaragua Partners, Inc., a non-profit volunteer organization, is making a call for people-to-people action as a way to help those in need by promoting an event both countries can participate in.