Caregiver Award Packet

Co-Founders
Penny Dastugue
Quentin Dastugue, CCIM
Executive
Committee
Susan Bopp
June 22, 2016
Scott Boudreaux
Mary Lee Caldwell
Larry Conner, CPA
Paul Dastugue III, CPM
Liz Diemer
Susanne Cambre Dwyer
Gia Fenasci
Kyle France
Marvin Gresse
Vickie Guarisco
Steve Jacobs
Steve Kragthorpe
Begoña Landry
Stephen Landry
Paul Langenwalter III
Diane LaPlace
Byron LeBlanc
Rich Mauti
Sue Meyer
Laura Miles
Carla Mouton
Holly Kirby Pisarello
Pratt Provosty
Patricia Radford
Dear Parkinson’s Support Group Leader,
On behalf of our local chapter of the Michael J. Fox Foundation, we are excited to share with you
the date of our 7th annual fundraiser, Kickin’ Parkinson’s, which will be held Thursday, September
22, 2016 at the Stone Creek Club and Spa in Covington, LA. We hope that you and your members
will be able to join us for this fabulous evening featuring The Molly Ringwalds!, marvelous food,
fine wines, open bar, an auction and many special guests, including Debbie Brooks, cofounder of
the Michael J. Fox Foundation.
Last year our chapter raised over $300,000 for research for a cure and medical therapies for
patients with Parkinson’s disease. Out of 1600 Team Fox organizations, our local chapter is one of
the top 3 fundraising chapters in the country for Team Fox. Over the last six years we have raised
over $840,000 for Team Fox!
Our chapter continues to be committed, not only to fundraising for Team Fox, but also to support
people in our communities that are caregivers of Parkinson’s patients or are students intending to
work to improve the lives of those living with Parkinson’s Disease. The Annual Caregiver’s Award
and the Annual Wilbur Reisig Scholarship recipients will receive their awards at the Kickin’
Parkinson’s event.
Information and nomination forms for the Annual Caregiver’s Award are enclosed. The Wilbur
Reisig Scholarship was awarded earlier this year.
We would also like to encourage you and your members to attend a Round Table Discussion being
led by scientists and leaders of the Michael J. Fox Foundation on Friday, September 23rd from
8:00AM-10:00AM at The Columbia House in Covington, LA.
Finally, we are donating 4 tickets to the 2016 Kickin’ Parkinson’s event to each support group in
the Greater New Orleans area and encourage you to have a drawing at your next meeting. Please
let us know who the winners are (and their contact information) so we may hold the tickets for
them at the front desk.
If you have any questions or would like for a member of our committee to come speak to your
group about any of our events or activities, please do not hesitate to contact us at (985) 502-9800.
Sincerely,
Stacy Rase
Steve Reisig, CCIM
Jennifer Rice
Richard Taubin
Bridgette Taylor
Laura Thibodeaux
Laine Thomas
Penny and Quentin Dastugue
Co-Founders
1002 S. Jahncke Avenue * Covington LA 70433 * 985-502-9800
ANNUAL CAREGIVER AWARD
On behalf of Kickin’ Parkinson’s, a Team Fox event supporting the Michael J. Fox
Foundation, we are pleased to announce we are accepting nominations for the
Annual Caregiver Award that consists of a $250 cash award, a plaque, and a Spa
Service at Stone Creek Club and Spa in Covington, LA. The recipient will be presented
with the award on September 22nd, 2016 at the Kickin’ Parkinson’s event.
The award aims to recognize the individuals who serve as supportive
advocates for Parkinson’s disease family members or patients in the Greater New
Orleans area.
A Caregiver Award Application Form is enclosed. We encourage your group to
nominate a deserving caregiver of a Parkinson’s disease patient for this award. All
applications must be either mailed or emailed by August 15, 2016:
Begoña Landry
211 Turnberry Drive
Covington, LA 70433
Email: [email protected]
Telephone: (985)951-9937
The Kickin’ Parkinson’s Caregiver Award committee looks forward to reading
the applications reflecting the immense love and commitment of these nominated
caregivers and hopes to see all of you at the event.
Tickets to Kickin’ Parkinson’s and updates can be found on our website at
www.KickinParkinsons.com.
1002 S. Jahncke Avenue * Covington LA 70433 * 985-502-9800
Caregiver Award Application
To submit this application, one may either type directly on this form or print and scan this form to
[email protected] or mail it to Begoña Landry 211 Turnberry Drive Covington, LA 70433.
Please describe what makes this person special to you in their role as a caregiver?
Please provide specific examples of how they enhance the quality of life for of the
Parkinson’s patient that is in their care.
NOMINATED BY:
NAME:
ADDRESS:
TELEPHONE NUMBER:
EMAIL ADDRESS:
NOMINEE’S CONTACT INFORMATION:
NAME:
ADDRESS:
TELEPHONE NUMBER:
EMAIL ADDRESS:
Invite you to join us as we KICK IT
to
the
eighties
A KICKIN’ PARTY: THURSDAY, SEPTEMBER 22ND
TWILIGHT RUN: MARCH 2017
SPONSOR LEVELS
The TOP Kicker $100,000
COMMITTED TOP KICKER
50 TICKETS FOR KICKIN’ PARKINSON’S: A KICKIN’ PARTY 9/22/16
50 RACE ENTRIES FOR THE TWILIGHT RUN 5K AT STONE CREEK 3/17
INVITATION TO “BOOTS & BUBBLES” VIP RECEPTION 9/22 6PM-7PM
KEN AND MACI MATHERNE
TITLE LISTING ON SPONSOR BOARD
YOUR LOGO ON FRONT OF RACE T-SHIRT
YOUR BANNER AT RACE COURSE FINISH LINE & KICKIN’ PARTY
TITLE PLACEMENT IN ALL ADVERTISEMENTS
INTRODUCTION & INVITE TO SPEAK AT KP: A KICKIN PARTY
TITLE PLACEMENT ON KP WEBSITE & FACEBOOK
CRESCENT CITY CLASSIC BENEFITS (SEE BELOW)
The BIG Kicker $25,000
The Key Kicker $5,000
30 TICKETS FOR KICKIN’ PARKINSON’S: A KICKIN’ PARTY 9/22/16
30 RACE ENTRIES FOR THE TWILIGHT RUN 5K AT STONE CREEK 3/17
INVITATION TO “BOOTS & BUBBLES” VIP RECEPTION 9/22 6PM-7PM
LISTING ON SPONSOR BOARD
YOUR LOGO AT TOP OF RACE T-SHIRT
8 TICKETS FOR KICKIN’ PARKINSON’S: A KICKIN’ PARTY 9/22/16
YOUR BANNER AT RACE COURSE & KICKIN’ PARTY
PROMINENT PLACEMENT IN ALL ADVERTISEMENTS
INTRODUCTION AT KP: A KICKIN’ PARTY
PLACEMENT ON KP WEBSITE & FACEBOOK
CRESCENT CITY CLASSIC BENEFITS (SEE BELOW)
YOUR BANNER AT RACE COURSE
PLACEMENT ON KP WEBSITE & FACEBOOK
The High Kicker $10,000
15 TICKETS FOR KICKIN’ PARKINSON’S: A KICKIN’ PARTY 9/22/16
15 RACE ENTRIES FOR THE TWILIGHT RUN 5K AT STONE CREEK 3/17
INVITATION TO “BOOTS & BUBBLES” VIP RECEPTION 9/22 6PM-7PM
LISTING ON SPONSOR BOARD
YOUR LOGO ON RACE T-SHIRT
YOUR BANNER AT RACE COURSE & KICKIN’ PARTY
INCLUSION IN ALL ADVERTISEMENTS
PLACEMENT ON KP WEBSITE & FACEBOOK
CRESCENT CITY CLASSIC BENEFITS (SEE BELOW)
8 RACE ENTRIES FOR THE TWILIGHT RUN 5K AT STONE CREEK 3/17
INVITATION TO “BOOTS & BUBBLES” VIP RECEPTION 9/22 6PM-7PM
LISTING ON SPONSOR BOARD
YOUR LOGO ON RACE T-SHIRT
The Cool Kicker $1,000
4 TICKETS FOR KICKIN’ PARKINSON’S: A KICKIN’ PARTY 9/22/16
4 RACE ENTRIES FOR THE TWILIGHT RUN 5K AT STONE CREEK 3/17
INVITATION TO “BOOTS & BUBBLES” VIP RECEPTION 9/22 6PM-7PM
LISTING ON SPONSOR BOARD
PLACEMENT ON KP WEBSITE & FACEBOOK
Crescent City Classic Partner Benefits:
CCC 2017 April 15th
NAME AND/OR LOGO ON KICKIN’ PARKINSON’S
T-SHIRT, ADVERTISING, PROMOTIONS, WEBSITE & FACEBOOK
PLEASE MAIL CHECKS MADE PAYABLE TO “KICKIN’ PARKINSON‘S/NSCF”
1002 S. JAHNCKE AVE. COVINGTON, LA 70433
KICKIN’ PARKINSON’S IS A FUND OF THE NORTHSHORE COMMUNITY FOUNDATION, AN ORGANIZATION
DESCRIBED BY I.R.C. SECTION 501(C)(3) AS A NONPROFIT ORGANIZATION THAT IS EXEMPT FROM FEDERAL
INCOME TAX AND TO WHICH CONTRIBUTIONS MAY BE TAX DEDUCTIBLE IN WHOLE OR IN PART AS A CHARITABLE CONTRIBUTION.
For more information about sponsorships and tickets, please contact Quentin Dastugue:
(t) 504.681-3408 (f) 504.681.3438 or (email) [email protected]
For more information about Team Fox LA Kickin’
Parkinson’s please visit our website
http://www.kickinparkinsons.com
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SPONSOR COMMITMENT FORM
COMPANY/SPONSORSHIP TITLE NAME:
CONTACT NAME:
CONTACT TITLE:
ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX:
EMAIL:
MY DONATION IS (PLEASE CHECK APPROPRIATE BOX):
The TOP Kicker $100,000
The BIG Kicker $25,000
The High Kicker $10,000
The Key Kicker $5,000
The Cool Kicker $1,000
I am unable to attend but enclosed is my donation of
PLEASE MAIL CHECKS MADE PAYABLE TO “KICKIN’ PARKINSON‘S/NSCF”
1002 S. JAHNCKE AVE. COVINGTON, LA 70433
KICKIN’ PARKINSON’S IS A FUND OF THE NORTHSHORE COMMUNITY FOUNDATION, AN ORGANIZATION
DESCRIBED BY I.R.C. SECTION 501(C)(3) AS A NONPROFIT ORGANIZATION THAT IS EXEMPT FROM FEDERAL
INCOME TAX AND TO WHICH CONTRIBUTIONS MAY BE TAX DEDUCTIBLE IN WHOLE OR IN PART AS A CHARITABLE CONTRIBUTION.
For more information about sponsorships and tickets, please contact Quentin Dastugue:
(t) 504.681-3408 (f) 504.681.3438 or (email) [email protected]
For more information about Team Fox LA Kickin’
Parkinson’s please visit our website
http://www.kickinparkinsons.com
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