Sign up to join the fun at the
Mid-Hudson Children’s Museum
Pavilion in Poughkeepsie
2:00 – Registration
5:00 – Back Yard BBQ
50 TEAMS OF TWO WILL
TOSS, SQUEEZE & STACK
THEIR WAY TO THE TOP WHILE
COMPETING AT VARIOUS
BACKYARD GAMES!!!
To register, please visit: www.gracesmithhouse.org or mail a check payable to
Grace Smith House, Inc. to 1 Brookside Avenue, Poughkeepsie, NY 12601.
 $250.00 (Team of two)
 $500.00 (Game Sponsorship: Sign at game, Team of two, Recognition from podium)
 $1,000 (BBQ Sponsor: Banner in-front of BBQ tent, Team of two, Recognition from podium,
on GSH website and Facebook page.)
 $1,500 (Corporate Sponsor: 2 Teams of two, Prominent signage & recognition on all marketing & at event)
 Check Enclosed (Please make payable to Grace Smith House, Inc.)
 Credit Card Number:
CCV:
Signature:
 I / We would prefer that my / our name is not listed in donor reports.
Exp. Date:
Team Name*:
Participant Names:
Mailing Address:
Email:
Phone:
Thanks to our
sponsors!
*Team names and
costumes are
strongly
recommended